What does it mean when a health insurance policy says

by eileen.richards2008 » Fri Oct 26, 2012 03:15 pm

I am looking in to health insurance plan through my husbands employer. There is no deductible for in network services and no out of network benefits. There are modest copays ($25-$150). For some services there is no copay amount listed and it says "subject to 100% coinsurance" Does this mean the plan pays the covered expense at 100%?

Total Comments: 1

Posted: Fri Oct 26, 2012 04:25 pm Post Subject: health insurance policy

Yes, the insurer will cover 100% of the expenses for remaining part of the year up to the limits of the plan. This happens when you have completed the 'out of pocket maximum' payment obligation.

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