When it comes to health insurance, you’ll see different terms describing different amounts you’re expected to pay. Keeping them straight is no easy task. Here’s a quick refresher:
Your copay is the fixed amount set by your insurance plan you pay out-of-pocket for certain provider visits. It’s common to have a set copay for your PCP, specialists, and prescription drugs. Copays don’t count toward fulfilling your deductible.
Your deductible is the amount of money you pay out-of-pocket before your insurance benefits kick in. Depending on your plan, you can get certain preventative services before you’ve met your deductible.
Coinsurance is a percentage of healthcare costs you’re responsible for once you meet your deductible.
Here’s another term to add to your health insurance vocabulary: premium. Your premium is the amount you pay monthly to keep your healthcare benefits. This payment doesn’t count toward your deductible. Consider it more like a membership fee associated with your insurance company.
Often, your deductible amount is linked to your premium. If you have a higher monthly premium, you’re more likely to have a smaller deductible and fixed copays. Smaller monthly premiums are often associated with high deductible health plans.
Whether you’re enrolled in a high deductible health plan or not, contact the Zest concierge in the Zest app or at 866.333.4725 to learn ways to save.