MANAGEMENT

BUISENESS MANAGEMENT

RISK MANAGEMENT

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Coinsurance is represented by ____
A
A set amount
B
A percentage
C
A maximum amount
D
None of the above
Explanation: 

Detailed explanation-1: -This amount is generally offered as a fixed percentage. It is similar to the copayment provision under health insurance. For example, if your coinsurance is 20%, then you will be liable to bear 20% of the treatment cost while the rest 80% will be borne by your insurance provider.

Detailed explanation-2: -The percentage of costs of a covered health care service you pay (20%, for example) after you’ve paid your deductible.

Detailed explanation-3: -This amount is a discounted cost that doctors in your plan network agree to charge. Here’s an example of how coinsurance costs work: John’s health plan has 80/20 coinsurance. This means that after John has met his deductible, his plan pays 80% of covered costs, and John pays 20%.

Detailed explanation-4: -One of the most common coinsurance breakdowns is the 80/20 split. Under the terms of an 80/20 coinsurance plan, the insured is billed for 20% of medical costs, while the insurer pays the remaining 80%. 2.

Detailed explanation-5: -If you have 40% coinsurance after the deductible, you will pay the deductible first and then 40% of the costs. 50% coinsurance means the same thing; only you will pay 50% of costs. While these are higher upfront costs, you will reach your out-of-pocket limit faster.

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