Copay vs Coinsurance
You’ve met your annual deductible of $2,000 and have to visit the ER later in the year.
Copays
Coinsurance
Paid each time you visit your doctor or pharmacy.
Paid for services and medicines if you’ve met your deductible.
The hospital bills $20,000. Cigna allows $12,000 of the charge.
Fixed dollar amount.
Actual dollar amount varies.
May count towards your deductible.
Paid after you meet your deductible.
Cigna will pay $10,800. ($12,000 x 90%)
Paid at the time of service.
Billed by the provider who you will pay directly.
You will pay your coinsurance, $1,200 ($12,000 x 10%)
16
Proprietary and confidential. All rights reserved.
Made with FlippingBook Ebook Creator