What is coinsurance?

Coinsurance refers to the arrangement where the insured pays a certain percentage of the costs for covered healthcare services after they have met their deductible. This means that once the insured has paid their deductible—the initial amount they must cover before insurance kicks in—they will continue to share in the costs of any additional medical expenses. Typically, the health insurance provider will cover a larger percentage, while the insured is responsible for the remaining percentage. This shared financial responsibility helps to keep insured individuals engaged in their healthcare decisions and promotes the responsible use of medical services.

In contrast, the other choices represent different aspects of health insurance payment structures. A flat fee for healthcare visits represents a copayment rather than coinsurance, while the total amount the insurance covers annually is more aligned with policy limits or maximums. Lastly, the amount paid by the insurer for long-term care relates specifically to different insurance products and does not pertain to the concept of coinsurance.