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TotallyOz

Insurance Question

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Posted

I am looking at a plan in the USA through Blue Cross / Blue Shield for a friend. I found the below which I want to be sure I understand fully. Does this mean that is MRI is 1,000,000 (I know high) then the insured is responsible for 200,000?

 

Imaging and diagnostic tests (such as an X-ray, MRI, EKG) 20percent coinsurance (no out of pocket max)

Posted

It'd surely mean that if it said "co-pay" versus "coinsurance." I don't know what they exactly mean by coinsurance (unless it means that this particular policy will only cover 80% of diagnostic costs if the insured has other insurance coverage that might cover some of it). Hell if I know, perhaps time for a health insurance professional?

Guest fountainhall
Posted

Does this mean that is MRI is 1,000,000 (I know high) then the insured is responsible for 200,000?

Yes. Coinsurance means that the policyholder pays a certain percentage of specific costs - in this case, 20%.

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