How Does Health Insurance Work?
of uninsured Americans don't understand key health insurance terms.
The amount you pay each year to cover eligible medical expenses before your insurance policy starts paying. After you pay your deductible, you only pay a copayment or coinsurance.
A flat fee for certain medical expenses; your insurance company pays the rest.
The max amount you will pay during a year for coverage. It includes deductibles, copayments, and coinsurance. Beyond this amount, the insurance company covers 100% of eligible medical expenses for the remainder of the year.
A percentage that you pay to share the cost of covered services with your insurance provider after your deductible has been paid. For example, if the co-insurance is 20%, the insurance company pays 80% of the claim and you pay 20%.
The amount you pay for your health plan every month to purchase health coverage.
All plans include access to : ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder services including behavioral health services, prescription drugs, rehabilitative services, laboratory services, preventive and wellness services, chronic disease management, pediatric services including oral and vision care.
Your Medical Costs Include All Deductibles, Co-insurances, and Co-pays That Do Not Go Over Your Limits
Your Insurance Company Will Be Responsible for All Medical Costs after Your Limits Are Met
How Much Will I Pay?
Plans are categorized into 5 levels. Your level determines how your medical bill is divided between you and your insurer.
27 million+ uninsured Americans are eligible for financial assistance.
53% of uninsured Americans don't know that financial help is available
Other Qualifications for Subsidy:
Basic Plan Types
Act NowHaving health insurance protects you
from health and financial risks: