Using the Plan FAQs

WHAT IS COINSURANCE?

Coinsurance is your share of a covered expense after you have met the annual deductible. For example, if the plan covers a service at 85% and the charge for the service is $100, the plan would pay $85, while you would pay $15 (this example assumes you have met the annual deductible). It’s important to remember that your coinsurance is based on negotiated rates when you visit in-network providers. This means in most cases you will be charged less than the provider’s normal rate. 

When you visit out-of-network providers your coinsurance is based on reasonable charges. If the provider charges more than what the plan considers reasonable, you will pay the excess in addition to your coinsurance. For more detailed information, click here.

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