Page 4 - Faegre-Drinker-OE-Brochure

How you will pay for health
care services
When you you receive medical care or or fill a a a a a a a a a prescription you you may be responsible for making a a a a a a a a a a a a payment payment These payments are are often called cost-sharing or or out-of-pocket costs and come in in in the following types:
Deductible
A deductible deductible is the amount you you you pay pay each year before your your health
plan plan starts paying for for for covered services
services
For example if your your plan plan has a a a a a a a a a a a a a a a $1 $1 000 000 deductible deductible you you you you you will will need to pay pay the the the first $1 $1 000 000 of the the the costs for for the the the health
care services
services
you you you you you receive in in in in any given year Once you’ve paid this amount your your insurance will will begin to pay a a a a a a a a a a a portion or or all of your your health
care costs depending on on the plan Coinsurance
Coinsurance
is the the the percentage you you you you pay for for some covered services
Once you you you you have met your your your your deductible amount for for the the the year you you you you you you you will only need to cover cover the the the cost of of of your your your your coinsurance coinsurance If your your your your coinsurance coinsurance is 20 percent percent your your your your health
insurance insurance insurance company will will pay pay 80 percent percent percent of of of the the cost cost of of of covered services
You will will pay pay the the remaining 20 percent percent — your costs are usually based on a a a a a a a a a a discounted amount negotiated by Independence Copay
A copay copay is a a a a a a a a a a a a a a flat flat fee fee you you you you you will will pay pay pay pay pay With your health
plan you you you you you will will pay pay pay pay pay a a a a a a a a a a a a a a copay copay when you you you you you fill a a a a a a a a a a a a a a prescription prescription drug drug For example you you you you you might pay pay pay pay pay a a a a a a a a a a a a a a flat flat fee fee of $20 for a a prescription prescription drug drug Out-of-pocket maximum
An out-of-pocket maximum
is the most you you will have to pay for for your health
care expenses during a a a a a a a a a a a a a a a plan plan year for for covered services
received from providers that participate in in in the plan’s network No matter what you you will not pay more than this maximum
maximum
amount in in a a a a a a a a a a a a a a a given year Any care you you you you receive for covered covered services
after you you you meet your out-of-pocket maximum
maximum
will be covered covered 100 percent by Independence Get preventive care for $0
Receive checkups screenings and and immunizations at at no cost to to you you and and your family Visit ibx com/preventive to to see recommended preventive preventive care options by age and gender 34