Question:

What does "20% Coinsurance after separate $5,000 deductible" mean?

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This is my maternity coverage on my health insurance. Does it mean I have to pay $5000 before my insurance will pay?

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  1. Yes, after you pay the first $5,000 then you owe 20% of the charges after that to a certain amount.  Look at your policy and it should say 20% of $10,000 meaning your stop loss is $2,000 (20% of 10,000) plus your deductible.


  2. Like the answers prior:  after your deductible of $5000, you are also responsible for the next 20% of covered expenses, up to the policy amount - usually referred to as the "stop loss."

    To find out the figure - it does vary from policy to policy and company to company - call the agent (if you have one) and / or call the insurance company.  The customer service number is usually on the back of your ID card and / or any billing statement they have sent you.

  3. After you pay the first $5000.  you are then responsible for 20% of the remaining ballance

  4. You must first meet your deductible then you will pay 20% of covered charges. You should find out what applies to your deductible. Such as copays, lab work etc.

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