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For example, if you have a health insurance policy with a $1,000 deductible and you receive a medical bill for $2,000, you would be responsible for paying the first $1,000 and your insurance would cover the remaining $1,000.
After you meet your deductible, you pay a smaller portion of your medical costs. (This is your coinsurance.) Your plan pays the rest. Once you meet your out-of-pocket maximum (this is your deductible plus coinsurance limit), your plan pays for all covered medical services in full.
Youll pay your deductible payment directly to the medical professional, clinic, or hospital. If you incur a $700 charge at the emergency room and a $300 charge at the dermatologist, youll pay $700 directly to the hospital and $300 directly to the dermatologist. You dont pay your deductible to your insurance company.
In Arizona, Aetna Open Access HMO and Health Network Only health benefits plans are offered by Aetna Health Inc.
Imagine your insurance plan has a $3,000 deductible. You need to pay the first $3,000 toward covered care out of your own pocket. After that, you only have to worry about copayments and coinsurance. Your plan pays the rest.
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After you meet your deductible, you pay a percentage of health care expenses known as coinsurance. Its like when friends in a carpool cover a portion of the gas, and you, the driver, also pay a portion. A copay is like paying for repairs when something goes wrong.

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