04/10/2021
Health Insurance
Health insurance helps individuals and families pay for medical care and also provides coverage for unforeseen expenses due to illness or injury.
The cost (also called a premium) of a health insurance plan and the coverage it provides varies depending on many factors. These factors include your age, where you live, whether it’s an individual or a family plan, your to***co use, etc. Your premium and coverage are also affected by whether the plan is private, employer-sponsored, public, or government-subsidized.
Your premium, specifically, will be affected by the following features, which are standard for every health plan:
Deductible – the amount you have to pay for a service that is covered by your plan before your health insurance goes into effect
Copayment (Copay) – the set amount you pay for a service or prescription drug
Coinsurance – the percentage of the cost you have to pay for a service covered by your plan; for example, if your coinsurance is 20%, you pay for 20% of the cost, and your insurance pays for the remaining 80%
Out-of-Pocket Limit – the most you will need to pay in a single year for any service that is covered by your plan