After the deductible has been met, what is the coinsurance maximum —the amount I have to pay before the plan begins to pay 100 percent of my covered expenses?
A. Once the deductible has been met, your share of the allowable charges will apply toward your coinsurance maximum. • If you have subscriber-only coverage, and: • You use network providers, you will have to pay 20 percent of the allowable charges for the covered care and drugs you receive, up to a maximum of $2,000. • You use providers outside the network, you will have to pay 40 percent of the allowable charges for the covered care and drugs you receive, up to a maximum of $4,000. • If you have family coverage, and: • You use network providers, you will have to pay 20 percent of the allowable charges for the covered care and drugs you receive, up to a maximum of $4,000. • You use providers outside the network, you will have to pay 40 percent of the allowable charges for the covered care and drugs you receive, up to a maximum of $8,000.
Related Questions
- After the deductible has been met, what is the coinsurance maximum —the amount I have to pay before the plan begins to pay 100 percent of my covered expenses?
- Can an individual who is not covered by a high deductible health plan HDHP for the whole year contribute the maximum annual limit established by the IRS?
- What is the maximum out-of-pocket I will pay while covered under the Argonne Blue Cross Blue Shield Comprehensive Plan?
