Example of Co-Insurance plans:

Sample plan of 80%/20% co-insurance

$1500 deductible & Contracted Rate: $100

When there is a deductible of $1500:

Client owes – 100% =$100

Insurance Pays – 0%

This is until DEDUCTIBLE is met

When deductible has been met:

Client owes: 2-% co-insurance = $20

Insurance pays 80% = $80

If client has co-pay & co-insurance:

Client owes: Co-pay of $20 and

Co-insurance of 20% of rate after co-pay = $16

$100 - $20 = $80

$80 x $20 = $16

$20 + $16 = $16 Total Amount Client Owes

Insurance Pays: 80% = $64