What is the difference between a deductible, copayment, and coinsurance?

Asked 6 months ago
A deductible, copayment, and coinsurance are all terms related to healthcare expenses. A deductible is the initial amount a policyholder must pay out-of-pocket before the insurance coverage starts. For example, if a plan has a $500 deductible, the policyholder must pay $500 before the insurance covers any expenses. A copayment, on the other hand, is a fixed fee paid by the policyholder for certain medical services, such as doctor visits or prescription medications. For instance, a plan might require a $20 copayment for each doctor visit. Coinsurance refers to the percentage of the costs shared between the policyholder and the insurance company after the deductible has been met. So, if a plan has a 20% coinsurance provision, the policyholder pays 20% of the medical costs, and the insurance covers the remaining 80%. Therefore, while the deductible is a set amount, copayments are fixed fees, and coinsurance involves a shared percentage of expenses.
Answered Nov 1, 2023

Need further help?

Type out your followup or related question and we will get you an answer right away.

Need to call Anthem Blue Cross & Blue Shield?

If you need to call Anthem Blue Cross & Blue Shield customer service, now that you have the answers that you needed, click the button below. You can either call them on your phone or use our free AI-powered phone to dial for you, get a rep for you, and more.
Call Anthem Blue Cross & Blue Shield

Anthem Blue Cross & Blue Shield

Find a list of many popular Anthem Blue Cross & Blue Shield questions with answers or step by step guides on our FAQ page below. Or ask a whole new question and get an answer right away.
Call Anthem Blue Cross & Blue ShieldAnthem Blue Cross & Blue Shield Customer Service FAQAsk a Question
Was this page helpful?
Thank you and please share!
Thank you and please share!
Needs work
Sharing is what powers GetHuman's free customer service contact information and tools. You can help!