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Coinsurance
Health
insurance coinsurance are health
insurance plans that requires an insured person to pay a stated
percentage of medical expenses after the deductible amount, if any,
was paid. Once any deductible amount and coinsurance are paid, the
insurer is responsible for the rest of the reimbursement for covered
benefits up to allowed charges: the individual could also be
responsible for any charges in excess
of what the insurer determines
to be “usual, customary and reasonable”. ¨ Coinsurance rates may
differ if services are received from an approved provider (i.e., a
provider with whom the insurer has a contract or an agreement
specifying payment levels and other contract requirements) or if
received by providers not on the approved list.¨ In addition to
overall coinsurance rates, rates may also differ for different types
of services. |