Definition

The final amount you owe after all payments and adjustments are applied. It is the figure you need to pay by the due date.

What to consider

  • Know your coinsurance rate as per your plan.
  • Understand how it applies after your deductible is met.
  • Review any changes to the coinsurance percentage periodically.

Real world scenarios

  • A patient’s bill detailed a coinsurance percentage of 20% applied after meeting the deductible.
  • Linda’s Explanation of Benefits showed that she had to pay 25% coinsurance for a specialist visit.
  • John reviewed his bill to understand how a 15% coinsurance rate affected his payment.

Related terms

Healthcare