Co-insurance definition

Co-insurance means the percentage of the usual, reasonable, customary, and fair market value expense that a covered person must pay.

Co-insurance means the portion of the carrier's allowable charge for the covered item or service

Co-insurance means the percentage of each insured loss that is not indemnified by the insurer but is borne by another insurer;

Examples of Co-insurance in a sentence

• Any such care that is PPACA Preventive Care Services shall be covered without Deductibles, Co-Payments or Co-Insurance if received from a Participating Provider.

• Subject to the terms of this Agreement, a Covered Person shall be required to pay, as Co-Insurance, the amounts shown on the Schedule of Benefits.

• A Covered Person using a Non-Participating Provider for a PPACA Emergency shall not be liable for Co-Payments or Co-Insurance in excess of Co-Payments and Co-Insurance that would have been charged if Participating Providers had been used.

• The Co-Insurance shall be paid by each Covered Person, if applicable, during each Plan Year, subject to the maximum amounts provided in the Plan as indicated in the charts in Exhibits A and B.

• Shall be defined as the total maximum of any Eligible Charges paid, or payable as defined by a payment schedule or arrangement by a Covered Person to a Participating Provider to satisfy any applicable Deductible, Co-Payment, and/or Co-Insurance specified in this Agreement before the Plan will begin to pay Covered Services at one hundred percent (100%) for the remainder of the Plan Year, subject to the maximum amounts provided in the Plan as indicated in Exhibit A.

More Definitions of Co-insurance

Co-insurance. Percentage based participation of the beneficiary on each loss or portion of the cost of receiving a service.

Co-insurance means the portion of the carrier's allowable charge for the covered item or service which is not paid by the carrier and for which the enrollee is responsible.

Co-insurance means the percentage an enrollee pays toward the cost of a covered service.

Co-insurance means an amount that a Medicare beneficiary pays to a provider for furnishing medical or allied care, goods, or services.

Co-insurance means the amount of the claim paid for by us. The remainder is the out-of-pocket expenses to be paid for by the Covered Person.

Co-insurance means the percentage of the payment for Covered Services for which the Member is responsible under the applicable Health Benefits Plan, after the Deductible is satisfied.

Co-insurance means the percentage by which the employees and the employer share in the amount of eligible expenses;