Good to Know
Premium: Amount deducted from each paycheck for coverage.
Deductible: A set amount you pay first for medical services and prescriptions before the health plan starts to pay.
Copay: A set amount you pay each time you see a doctor, fill a prescription or go to the Emergency Department.
Coinsurance: A set percentage of the total cost of certain medical services covered by the plan that you pay when you use them.
Out-of-Pocket Maximum: The maximum amount you'll pay towards all medical and prescription drug expenses each year. Once the maximum is reached, the health plan pays all additional costs for health care services and prescriptions received during the remainder of the plan year.