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Health Care Reform:

Health Insurance & Affordable Care Act

Back to ACA Health Insurance Terms List

Cost sharing

Cost sharing describes how both you and your insurance company pay toward your health costs. You pay a portion for each type of service you get, such as seeing a doctor or filling a prescription. Depending on the type of health plan you have, you may pay your share of the costs as a:

  • Copayment, which is a fixed amount like $15 for a doctor's visit

  • Coinsurance, which is a percentage of the cost of care, such as 30% of the cost

  • Deductible, which is an amount you must spend on your care before your health plan pays anything toward your medical expenses.


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