How does health insurance work?
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how does self insurance work here's an
example of how health insurance cost
sharing works let's assume you have a
health plan with a one thousand dollar
deductible 20 percent coinsurance and a
six thousand dollar out-of-pocket
maximum
if you incur a fifty thousand dollar
medical bill you will first need to pay
you $1,000 deductible that would leave
you with $5,000 in cost-sharing left
before you reach your plans $6,000
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out-of-pocket maximum with 20 percent
coinsurance you would pay $1,000 for
every four thousand dollars paid by your
insurance company what that means is
that for the next twenty five thousand
dollars in covered medical expenses you
would pay five thousand dollars and your
insurance company would pay twenty
thousand dollars out-of-pocket maximum
once you've paid your one thousand
dollar deductible and $5,000 in
coinsurance you've reached your plans
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$6,000 out-of-pocket maximum altogether
with this 50 thousand dollar medical
bill you will have paid six thousand
dollars and your insurer will have paid
the remaining forty four thousand
dollars in covered medical expenses
you