Espanol
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
Register for Updates

Reference Guide
Benefits, Providers, and Costs
  back  print friendly

Related Topics
Cost-Sharing
Contribution Requirements

Premiums

A health insurance premium is the total amount that must be paid in advance in order obtain coverage for a particular level of services. Usually health insurance premiums are billed and paid on a monthly basis.

Employers typically require employees to share the cost of the plan premium, usually through employee contributions right from their paychecks. Keep in mind, however, that most insurers require the employer to cover at least half of the premium cost for employees.

Employers are free to require employees to cover some or all of the premium cost for dependents, such as a spouse or children.

In addition to sometimes paying a portion of the premium, employees must often pay a certain amount at the time of service, either a copayment or co-insurance. This is known as cost-sharing. In general, the higher the cost-sharing at the time of service, the lower the monthly premium.
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

 

 
1438 Webster Street Suite 400, Oakland, CA 94612
Privacy Policy Terms of Use