Your share of the costs of a healthcare service, usually figured as a percentage of the amount charged for services. You start paying coinsurance after you’ve paid your plan’s deductible. Your plan pays a certain percentage of the total bill, and you pay the remaining percentage.
A fixed amount you pay for a specific medical service (typically an office visit) at the time you receive the service. The copay can vary depending on the type of service. Copays cannot be included as part of your annual deductible, but they do count toward your out-of-pocket maximum.
The amount you pay for healthcare services before your health insurance begins to pay. For example, if your plan’s deductible is $500, you’ll pay 100 percent of eligible healthcare expenses until the bills total $500 for the year. After that, you share the cost with your plan by paying coinsurance.
A group of doctors, clinics, hospitals and other healthcare providers that have an agreement with your medical plan provider. You’ll pay less when you use in-network providers.
Care received from a doctor, hospital or other provider that is not part of the medical plan agreement. You’ll pay more when you use out-of-network providers.
This is the most you must pay for covered services in a plan year. After you spend this amount on deductibles, copayments and coinsurance, your health plan pays 100 percent of the costs of covered benefits. However, you must pay for certain out-of-network charges above reasonable and customary amounts.
The provider who coordinates your health care. Selecting a PCP is recommended but not required. Your PCP may be an internist, general practitioner, or family medicine provider; a pediatrician; or an ob/gyn.
The amount of money a health plan determines is the normal or acceptable range of charges for a specific health-related service or medical procedure. If your healthcare provider submits higher charges than what the health plan considers normal or acceptable, you may have to pay the difference.
Ready to enroll?
Please access UKG through our SSO page to enroll in your benefits. You can also access the UKG mobile app by using the company access code “Regenxbio”. If you have any questions about your benefits, please contact HR by email or call (240) 552-8526.