Co-insurance is defined as

Study for the PTCB Billing and Reimbursement Test. Use flashcards and multiple choice questions, each with hints and explanations. Prepare for your exam!

Multiple Choice

Co-insurance is defined as

Explanation:
Co-insurance is a cost-sharing arrangement between the insured and the insurer. After any deductible has been met, the insured pays a percentage of covered expenses and the insurer pays the remainder. This differs from a fixed co-pay, which is a set amount paid each time a service or prescription is received, regardless of the total cost. It’s also not the deductible portion, which is the amount you must pay out of pocket before insurance starts covering. And it isn’t the price of the medication before discounts, which would just be the drug’s list price.

Co-insurance is a cost-sharing arrangement between the insured and the insurer. After any deductible has been met, the insured pays a percentage of covered expenses and the insurer pays the remainder. This differs from a fixed co-pay, which is a set amount paid each time a service or prescription is received, regardless of the total cost. It’s also not the deductible portion, which is the amount you must pay out of pocket before insurance starts covering. And it isn’t the price of the medication before discounts, which would just be the drug’s list price.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy