co-insurance


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Related to co-insurance: reinsurance

co-insurance

Managed care A cost-sharing requirement in many health insurance policies or health plans, in which the insured and insurer share payment of an approved charge/fee for covered services in a specified ratio, after an annual deductible is paid, up to a pre-set limit or maximum liability. See Allowed Charge, Copayment, Cost Sharing, Deductible, 80/20, Maximum liability.
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The Company has a major agreement in place with one of the leading co-insurance companies in the U.
After Humana has paid $500 in medical expenses for the employee, any additional expenses are subject to a $1,000 deductible, and after this deductible has been satisfied, other expenses are covered by 80 percent/20 percent co-insurance.
In many instances insureds may want to exclude ordinary payroll entirely, but to do so they will have to take a higher co-insurance percentage.
Deducts any co-payments, deductibles or co-insurance that should have been paid directly by the patient
Once a patient's eligibility is verified in real-time, including co-insurance, deductibles and other relevant information, the application generates an accurate valuation of the procedures to be performed.
The ROC will award that contract in co-insurance with several insurers and / or underwriters (hereinafter insurers).
But these insurance plans are running afoul of that by placing all HIV/AIDS medications in the highest tiers with exorbitant co-insurance and co-pays, and instituting other barriers to obtaining commonly prescribed HIV/AIDS medications.
Likewise, the growing tendency of EPLI carriers to require co-insurance ranging from 10 to 25 percent is racking up higher corporate costs.
These are likely to include higher deductibles, larger co-insurance amounts, and increased used of other cost containment devices such as the dreaded gatekeeper systems that limit patients' access to care.
Another factor in this case was that the cooperative, which was under the control of the Scharf family, unilaterally reduced the insurance coverage of the building from $3 million, as was required under the cooperative's offering plan, to $2 million, with an 80 percent co-insurance clause.
Then, using applicable deductibles, co-insurance and other patient responsibilities, it can determine the patient's portion of the bill and provide written estimates.
The mechanism used in the policy to achieve this objective is a formula which is expressed in the co-insurance clause.