|Question and Answer
What is the difference between a deductible, coinsurance, and a copayment?
Coinsurance is the percentage of the cost of care you or your supplemental insurance is required to pay after your health plan pays. With Original Medicare, the coinsurance is usually 20 percent of the Medicare-approved amount. So if your care cost $100, your coinsurance would be $20.
A copayment is a fixed amount you are required to pay for each medical service you receive, such as a doctor visit, so no matter what the cost of the service is, you pay the same amount. Usually, Medicare Advantage plans like HMOs or PPOs have copayments.