![]() A plan with 80 percent co-insurance, for example, means the health insurance company would pay 80 percent and you would pay the remaining 20 percent after your deductible is met. With co-insurance, the health insurance company usually pays a majority of the cost of eligible medical expenses. Once you meet your deductible, with the exception of copay services you will only pay co-insurance on eligible medical expenses until you reach your out-of-pocket maximum. Generally, your deductible starts over every year in January, but you should check your specific plan to verify. For example, if you have a $2,000 deductible, you will pay $2,000 for health care services before your insurance kicks in. Your deductible is the annual amount you must pay each year for specific non-copay health care services before your insurance begins to pay. Let’s talk about what they are and how they work in your insurance plan. Deductibles and out-of-pocket maximums are two parts of every insurance plan that many people do not understand. Have you ever been told that your doctor visit was applied to your deductible? Maybe you were told you have to pay until your out-of-pocket maximum has been met. As your health insurance agent, we aim to simplify the process of buying health insurance and provide you with the resources and information you need to understand your benefits. ![]() Understanding your health insurance benefits can be confusing and overwhelming, especially when you are faced with a high-dollar medical bill. ![]()
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