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Part One: Getting Started
Part Two: Getting Covered
Reference Guide
Benefits, Providers, and Costs
Coverage Types
Eligibility and Enrollment
Purchasing Coverage
Laws and Rights
Other Resources
Helpful Tools
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Reference Guide
Benefits, Providers, and Costs
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Related Topics
Cost-Sharing
Plan Characteristics and Types

Co-insurance

In many health plans, patients must pay a portion of the services they receive. This payment is called "co-insurance" and is usually a small percentage of the service cost after the plan pays benefits. If the plan pays 70 percent of the cost, the patient pays 30 percent of the cost. If the plan pays 90 percent, the patient pays 10 percent, and so forth. Co-insurance is common for PPO products and less common in HMOs.
Other documents in the Benefits, Providers, and Costs section:

Benefits
Benefits of Providing Coverage
Choice of Providers
Co-insurance
Copayments
Costs of Group Coverage
Cost-Sharing
Coverage Scope
Deductibles
Managed Care
Paperwork and Plan Administration
Pre-Existing Conditions
Premiums

 

 
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