Insurance can be confusing. Here are some key terms explained:
Copay
A fixed amount you pay for each appointment, such as $30 per visit.
Deductible
The amount you pay out-of-pocket before your insurance starts covering services. Once you meet your deductible, your insurance kicks in.
Coinsurance
After you’ve met your deductible, you might pay a percentage of the cost, such as 20%, while insurance pays 80%.
Out-of-Pocket Maximum
The most you’ll pay in a year. Once you hit this amount, insurance covers 100% of covered services.
In-Network vs Out-of-Network
In-network providers have negotiated rates with your insurance, which usually means lower costs for you. Out-of-network providers may cost more, but you might still get partial reimbursement.
