What does it mean to have 0 percent coinsurance for <span title="maternity/hospitalization?">maternity/hospitalization...</span>

Question

I was reviewing my insurance policy because we are having a baby this fall and want to know what to expect as far as the hospital bill. During my last pregnancy, (which was under a different policy and employer) it was very, very high so I am wondering what 0 percent coinsurance means.

Answer 1

If is categorized as &#039;your share&#039; of the coinsurance, you will pay 0% after the deductible. If it is categorized under what the insurance company will pay, the company will pay 0%. You need to be certain that there are indeed maternity benefits on your policy. Call customer service, and they will be able to assist you.

Answer 2

Co-insurance normally refers to the percentage you will pay after the deductible.  Co-pay is a similar concept, but is normally a dollar amount, not a percentage.  These words can be tricky, so I attach links to the definitions.

If there were two numbers, such as 70/30, these would refer to what the insurance company would pay and what you would pay.  With a single number, it should definitely be what  you will pay.  If you want to be sure, look at the summary plan description or talk to HR.

Answer 3

It means that the insurance company pays 100% (you pay 0%)  unless you have an inpatient copay or something.