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What Is Coinsurance in Health Insurance?

Definition: Coinsurance is your percentage share of covered healthcare costs after you have met your annual deductible. With 80/20 coinsurance, you pay 20% and your insurance pays 80%.

Coinsurance is the percentage of covered healthcare costs you pay after meeting your annual deductible. Your insurance pays the remainder up to your out-of-pocket maximum.

Example: Your plan has 80/20 coinsurance and you've met your deductible. You need a $1,000 procedure. You pay 20% ($200) and your insurance pays 80% ($800).

Common Coinsurance Rates

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Disclaimer: This site provides estimates for educational purposes only. Always verify costs with your insurance provider. Not medical or financial advice. Full disclaimer โ†’