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OneDigital Understanding Insurance Costs

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PremiumYour premium is the amount you pay for a benefit plan, usuallythrough paycheck deductions. You pay this amount regardless ofwhether you use the coverage.DeductibleThe amount you’re responsible for paying in care expensesbefore your plan starts paying deductible-eligible expenses. Know what the deductible applies to. Look for items with ‘DED then you pay...’ language in your benefit guide. If youhave a HDHP medical plan with HSA, all non-preventive care issubject to the deductible.CoinsuranceAfter you’ve met your deductible, you’re sometimes responsiblefor a percentage of the medical or dental care or prescriptionmedication received. This percentage is coinsurance. CopayA flat fee you pay each time you receive a copay-eligiblemedical, dental, or vision service or prescription medication.Out-of-pocket maximumThe most you’ll pay for covered in-network medical care andprescription drugs in a year. This includes your deductible,coinsurance, and copays.PremiumAnnual cost for coverageOut-of-pocket maxAnnual maximum cost forcovered in-network careMaximum annual liabilityAnnual maximum cost forcoverage & care Budget tip! Know yourmaximum annual liabilityWhen selecting your medical plan,be sure you know your maximumpotential cost for coverage and care.Understanding Insurance CostsExpenses are likely your first priority when choosing benefits. Here's what to know about insurance costs as you make benefit selections and use yourcoverage throughout the year.Limit surprises! Budget for this amount