The coinsurance phase begins after you've paid enough for health care services and prescription drugs (not including copays) to meet your deductible. Your health insurance company will split the costs with you. You pay a percentage (usually 20 to 40%) for covered health services or drugs, and the insurance company pays the rest (usually 80 to 60%). All co-payments continue to be paid at the time of service.
This is when you and your insurance company share the costs of your care. Once you've met your deductible, coinsurance is your share of the costs of health services. This is calculated as a percentage. Just enter your mobile phone number and we'll send you a link via text message to download the Aetna HealthSM app from the App Store or Google Play.
If you're an adult who lives in a state that hasn't expanded Medicaid and you expect your income to be at least as high as the poverty level, then you may be eligible for subsidies through HealthCare. If you or your spouse work for a company or organization that offers your team members an employer-sponsored health insurance policy through a group plan, you probably won't pay nearly as much as you would with a marketplace plan. For example, if a plan has an actuarial value of 70%, the insurance company will pay approximately 70% of the total medical expenses of all people covered by that plan. Premiums were derived from data published by the Centers for Medicare and Medicaid Services (CMS), data received directly from state insurance exchanges or departments, and data collected by KFF researchers on state exchanges.
The purpose of the calculator is to show you an estimate of how much you can afford and the amount of financial aid you may be eligible for if you buy coverage through the Health Insurance Marketplace. While your insurance company may cover most of the cost of your medical care, you usually have to pay something when you go to the doctor or have a hospital stay. The cost of health insurance (your monthly premium) varies widely by state, and even within regions of a state. They can help you evaluate if a plan with a higher premium that includes lower health care costs is right for you. As a result of the ACA, insurance companies can't deny you coverage or make you pay more for your health coverage based on your health status.
Health insurance costs can vary greatly from person to person, but will usually depend on your needs or those of your family. While you would pay less in premiums if you signed up for a Bronze plan, you'll have to pay higher out-of-pocket costs than if you signed up for a Silver plan. The health law also makes it clear that the financial aid provided by the health insurance market cannot be used to cover the part of the premium that is due to a surcharge for smoking. Aetna is the brand used for products and services offered by one or more companies in the Aetna group, including Aetna Life Insurance Company and its subsidiaries (Aetna).
The law allows insurance companies to charge people in their 60s up to three times more than people in their early 20s.
