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Happier Healthcare: What's the Difference Between Deductible vs Copay?

Happier Healthcare: What’s the Difference Between Deductible vs Copay?

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October 19, 2022
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Are you confused about deductible vs copay? Many people become confused when trying to understand medical bills. It’s not always clear how they work, and with the recent COVID-19 pandemic, people are feeling even more confused than ever.

Luckily, there are key things you can do to make things less confusing. Once you understand the difference between deductibles vs copays, the rest will follow.

Read on!

The Cost of Deductible

The Patient Protection and Affordable Care Act requires all health insurance plans to cover preventive care services with no overhead costs to the patient. However, plans may charge a deductible for other types of healthcare.

Your deductible is the amount of money you have to pay out-of-pocket for your healthcare plans before your insurance company starts to pick up the tab. For example, if your deductible is $1,000, you’ll have to pay the first $1,000 of your medical bills yourself.

After that, your insurance will start to cover a portion of the costs. Generally, the cost of deductible plans is usually lower, because the policyholder is taking on more of the risk.

The Cost of Copay

A co-payment is a fixed amount, such as $20, that you pay for a covered healthcare service, usually when you receive the service. This is your share of the costs of a covered service, calculated as a percentage of the allowed amount for the service.

For example, if the allowed amount for an office visit is $100 and your coinsurance is 20%, you pay $20 and the plan pays $80. Your copayment is usually a lot lower than your deductible, and it’s paid each time you receive a covered service.

However, if you need to use your health insurance, a copay plan may be a better deal, because you will have to pay less out of pocket.

The Pros and Cons of Having a Deductible

A deductible is the amount of money you have to pay for your health care before your insurance company begins to pay. This can be a good thing because it can save you money on your premiums.

The downside is that you may have to pay a lot of money out of pocket if you have a major health issue. So, if you are looking for quality affordable health insurance coverage, view this page and get a free quote today!

The Pros and Cons of Copays

 A copay is a set amount that you pay for your health care services. This can be a good thing because you know exactly how much you will have to pay.

The downside is that you may end up paying more than you would if you had a deductible.

A Guide to the Difference Between Deductible vs Copay

If you’re trying to decide between deductible vs copay, remember that a high deductible plan will have lower monthly premiums, while a copay plan will have higher monthly charges. Many people don’t know the difference between the two.

Keep in mind to get what you can afford. Both deductibles and copays can vary depending on your insurance plan. By reading this guide, you can be certain that you’ll do better decisions about your health care.

Did you find this article helpful? Check out the rest of our blog now!

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