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Multiple Choice

What is a deductible and how does it affect patient payment?

A deductible is the amount you must pay out of pocket before your health insurance starts to pay for covered services. It’s typically set for a policy year, and you’re responsible for paying eligible charges until that amount is met. After the deductible is satisfied, the plan usually shares costs with you through coinsurance or copays until you reach the out-of-pocket maximum. Some plans may cover certain preventive services before the deductible is met. The other options describe different concepts: a fixed per-service fee is charged regardless of coverage, coinsurance is a percentage after coverage begins, and a provider discount is not the deductible.

A deductible is the amount you must pay out of pocket before your health insurance starts to pay for covered services. It’s typically set for a policy year, and you’re responsible for paying eligible charges until that amount is met. After the deductible is satisfied, the plan usually shares costs with you through coinsurance or copays until you reach the out-of-pocket maximum. Some plans may cover certain preventive services before the deductible is met. The other options describe different concepts: a fixed per-service fee is charged regardless of coverage, coinsurance is a percentage after coverage begins, and a provider discount is not the deductible.