coinsurance

Cost Sharing--The generic term that includes copayments, coinsurance, and deductibles; also, out-of-pocket payments.

In this case, full insurance on average requires the coinsurance rate to be larger than 1.

We have coinsurance because some insurance customers are aware that most losses aren't total losses.

The likelihood of having a coinsurance or copayment penalty for in-network outpatient care decreased postparity, but with an increase in the average magnitude of the penalty among plans requiring it.

"Although biosimilar gap discounts begin in 2019, infliximab-dyyb may still not significantly reduce Part D beneficiaries' out-of-pocket costs given its high price and coinsurance cost-sharing similar to infliximab," the authors write.

Currently, Medicare covers colorectal screening at no charge to the patient, but if a polyp is removed upon discovery during the procedure, the patient would then be subject to Medicare's coinsurance payments for both the colonoscopy and the removal.

The new fund will assist individuals with out-of-pocket medical expenses associated with their condition and treatment, including copayments and coinsurance, health insurance premiums and incidental medical expenses.

Furthermore, patients with high-deductible health plans or coinsurance do not realize the benefit of negotiated savings because their out-of-pocket costs are based on a medicine's undiscounted list price.

Summary: The higher coinsurance payments will encourage more to opt for less pricey generic drugs

While Medicare beneficiaries had access to mammograms and colonoscopies before the ACA, the health reform law waived both coinsurance and deductibles for the cancer screenings.

Flexible Spending Account (FSA): A program where employees may contribute pretax money to be used for medical expenses, including copays, coinsurance, and any non-covered services or over the counter medication.