Cost Sharing

Each plan will include different cost-sharing amounts described in these terms:

  • Out-of-pocket maximum: This amount is the most you’ll pay for health insurance within a plan year.

  • Deductible: Just like your car insurance, you must spend a specific amount before your health plan begins to pay for your health expenses. Some health plan deductibles can be high — up to several thousand dollars.

  • Copayment or coinsurance: These are payments you make each time you receive medical care after reaching your deductible.