coinsurance


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Related to coinsurance: Coinsurance effect

coinsurance

(kō′ĭn-sho͝or′əns)
n.
1. Insurance held jointly by two or more insurers.
2. A form of insurance in which a person insures property for less than its full value and agrees to be responsible for the difference.
3. A sum of money paid by a patient to a health care provider after a health insurance company has paid a contractual amount for a covered service, usually a fixed percentage of costs. Coinsurance usually applies after an annual deductible has been paid.

co·in·sur·ance

(kō-in-shŭr'ăns)
The amount or percentage the insured is responsible for after the deductible has been met.
See also: copayment, cost sharing

co·in·sur·ance

(kō-in-shŭr'ăns)
The amount or percentage the insured is responsible for after the deductible has been met.

coinsurance,

n 1. a means of sharing, dividing, or splitting the cost of dental services between the dental plan and the insured patient. A common division is 80/20. This means the insurance company will pay 80% of the cost of the dental service and that the patient will pay 20%. Percentages vary and may be applied to scheduled or usual, customary, and reasonable fee plans.
2. a provision of a dental benefits program by which the beneficiary shares in the cost of covered services, generally on a percentage basis.
3. the percentage of a covered dental expense that a beneficiary must pay (after the deductible is paid). A typical coinsurance arrangement is one in which the third party pays 80% of the allowed benefit of the covered dental service and the beneficiary pays the remainder of the charged fee. Percentages vary and may apply to a table of allowance plans; usual, customary, and reasonable plans; and direct reimbursement programs.
coinsurance clause,
n a provision in an insurance contract stipulating that the insurer will pay a specified share of dental expenses covered by the plan.
References in periodicals archive ?
The interaction term estimates the modifying effect of not being at parity pre-MHPAEA on changes in copayment and coinsurance use and levels post-MHPAEA.
The limit of insurance has to satisfy the coinsurance percentage in order for the full amount of any covered loss to be paid.
If the insured won't go through the process, point out the possibility of a severe loss and quote the cost for an amount of insurance equal to the annual rent roll using 100 percent coinsurance rate, and 1.
2) The insured must agree to carry at least the amount of coverage determined by multiplying the total amount on the work sheet by the applicable coinsurance percentage chosen.
To calculate risk premiums, we identified the deductible guarantee that makes a representative farmer indifferent to exchanging this deductible plan for the coinsurance parameters of SURE.
The purpose of this study is to determine whether deductibles and coinsurance can be used to solve problems of adverse selection when there is more than one rationed risk type.
There was virtually no change in the percentage of employees with medical care plans that imposed a less generous coinsurance rate for mental health inpatient care than for other illnesses.
Any amount remaining unpaid, such as a deductible, coinsurance, copayment, or uncovered amount, would be paid by the camp's Blanket Excess Accident and Sickness Medical policy up to the limit of the policy.
If the standard coinsurance for an outpatient visit to an internist is 20%, then the coinsurance for a visit to a psychiatrist would also be 20%," he said.
Also, 82% expect to increase retiree premiums, and 85% plan to raise prescription drug copayments or coinsurance.
One source of possible problems is the coinsurance clause in time element forms.
However, if you don't use your primary gatekeeper, you can expect to receive a reduced reimbursement that is subject to a deductible and coinsurance.