Page 46 - USUI Benefit Book
P. 46
of 6
December 31 st Coverage pays Page 6
Period
End of Her plan 100% Jane has seen the doctor often and paid $5,000 in total. Her plan pays the full cost of her covered health care services $125 costs: $125
Jane pays 0% Jane reaches her $5,000 out-of-pocket limit for the rest of the year. visit Office $0 pays: Jane pays: plan Her
Example Out-of-Pocket Limit: $5,000 more costs Her plan pays 80% begins pays some of the 20% of $125 = $25 = $100 80% of $125
How You and Your Insurer Share Costs -
Coinsurance: 20% Jane pays 20% Jane reaches her $1,500 coinsurance deductible, Jane has seen a doctor several times and paid $1,500 in total, reaching her So her plan deductible. costs for her next visit. $125 costs: visit Office pays: Jane pays: plan Her
more costs
Terms Medical
Jane’s Plan Deductible: $1,500 January 1 st Period Beginning of Coverage Her plan pays Jane pays 0% 100% Jane hasn’t reached her yet $1,500 deductible Her plan doesn’t pay any of the costs. $125 costs: visit Office $125 pays: Jane $0 pays: plan Her and Coverage Health of Glossary
