Deductible
The amount you pay out of pocket for health care services before your plan begins to pay a portion.
Copay
A set dollar amount you pay for a covered health service, typically at the time of receiving the service.
Coinsurance
Your share of the costs of covered health care services after you reach your deductible. *Example: If your plan shows 20% coinsurance and a service costs $100, you pay $20.*
Out-of-Pocket Maximum
The most you’ll have to pay for health care services before your plan begins to pay for 100% of covered costs.
Network
The health facilities and providers your medical plan is contracted with to provide services, typically at a lower negotiated rate.
Preventive Care
An annual, routine, or physical checkup. Preventive care includes immunizations, lab tests, screenings, and other services intended to prevent illnesses. This is 100% covered by your health plan.