Premiums

Periodic amounts paid by or on behalf of members for ongoing health care coverage. It does not include any deductibles or copayments the plan may require.

Copayments

The dollar amount a patient pays when services are received. A visit to a primary care physician might require a copayment of $10, a visit to a specialist $20 and a prescription $20.

Coinsurance

The percentage or amount patients are required to pay through their insurance plan for reasonable medical expenses after a deductible has been satisfied.

Deductibles

The dollar amount of covered services based on the allowed benefit that must be paid by an individual or family per benefit period before the insurance company (CareFirst) begins to pay its portion of claims.