Deductibles & Out-of-Pocket Expenses

The Out-of-Pocket Expense chart summarizes the co-pays, co-insurance and deductible you may be responsible for.

Deductibles & Out-of-Pocket Expenses 

The types of expenses are defined as follows:

  • Co-payment:  a dollar amount that you are required to pay at the time services are rendered.
  • Co-insurance:  the percentage the member is responsible for when coverage is less than 100%.
  • Deductible:  an amount, usually stated in dollars, for which you are responsible each benefit period before the third party administrator will start to reimburse benefits.
The out-of-pocket expenses chart summarizes the different costs based on the plan selected.