What is coinsurance?

Coinsurance is the percentage you pay for covered healthcare costs. You begin to pay coinsurance after you’ve met your deductible.

Once you meet your deductible you’ll pay coinsurance until either: 

• Your plan year ends

• You meet your out-of-pocket maximum

Example: Your plan year starts on January 1st. Your health insurance plan has a deductible of $1000 and 20% coinsurance. By July, you’ve paid $1000 out-of-pocket and met your deductible. You’ll now pay 20% of your covered health care costs, and your insurance plan will cover 80%. In August you go to the doctor and the visit costs $100. You pay $20 of the cost (20%) and your insurance pays the remaining $80 (80%).