Coinsurance

An arrangement in a health or dental insurance plan where the insured person(s) and the insurance company share the cost of the items covered.

The insured person usually pays a set percentage.

Most common is an 80/20 split (e.g. 20% paid by you and 80% paid by the insurance company). By making the insured person(s) participate in sharing of claim costs, coinsurance helps to ensure the insured person(s) are more aware cost.

In theory, this helps mitigate frivolous or unnecessary claiming by incentivizing the insured person(s) to weigh the costs before incurring a claimable expense, and engage in less risky behavior.

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