Copayments, deductibles or other fees that a member is required to pay outside of his or her health benefits plan.
The maximum dollar amount of shared expenses (coinsurance) you will pay in a year before the insurance company or health plan begins paying at the 100% level of benefits. This is usually in addition to a deductible you may have paid prior to sharing expenses.
Includes the 20% coinsurance payable by the claimant and any co-payments paid by the claimant. Out of Pocket does not include any excluded amounts ( including but not limited to amounts over Reasonable and Customary or Usual and Customary and charges not covered by the policy) or amounts that exceed the maximum benefit allocation as listed in the Schedule of Benefits.
calling for the spending of cash; "his out-of-pocket costs were $10"
Expenses you pay as your share of the cost of covered services, such as deductibles, co-payments and co-insurance.
The amount of money you pay, not including your deductible, towards covered medical expenses.
A predetermined limited amount of money that an individual must pay out of their own savings, before an insurance company or (self-insured employer) will pay 100 percent for an individual's health care expenses.
Costs patients pay with their own money
The most money you will be required to pay in a year for deductibles and coinsurance. It is a stated dollar amount set by the insurance company, in addition to regular premiums.
Your out-of-pocket costs are the amount you pay for your health care. The costs depend on the health plan you choose, how often you need care, the type of care you need and the extra benefits covered by the plan.
The maximum amount of money the patient must pay before insurance pays at 100