Deductible: The annual amount you and your family must pay each year before the plan pays benefits.
Coinsurance: The percentage of a covered charge paid by the plan.
Copayment (Copay): A flat dollar amount you pay for medical or prescription drug services regardless of the actual amount charged by your doctor or health care provider.
In-Network: Use of a health care provider that participates in the plan’s network. When you use providers in the network, you lower your out-of-pocket expenses because the plan pays a higher percentage of covered expenses.
Out-of-Network: Use of a health care provider that does not participate in a plan’s network.
Out-of-Pocket Maximum: The maximum amount you and your family must pay for eligible expenses each plan year. Once your expenses reach the out-of-pocket maximum, the plan pays benefits at 100% of eligible expenses for the remainder of the year.