Coinsurance is the percentage of the cost of a covered healthcare service that you are responsible for paying after you have met your deductible.
How Coinsurance Works with Insurance
- Deductible: Before your insurance company starts paying for most of your healthcare costs, you must first meet your deductible. This is the amount you pay out-of-pocket for covered healthcare services before your insurance plan starts to pay.
- Coinsurance Percentage: Once you’ve met your deductible, you’re typically responsible for paying a percentage of the remaining costs for covered services. This percentage is your coinsurance. For example, if your plan has an 80/20 coinsurance, you are responsible for paying 20% of the cost of covered services, and your insurance company pays the remaining 80%.
Understanding Your Coinsurance
- Review Your Insurance Policy: The most accurate information about your coinsurance percentage can be found in your insurance policy documents.
- Contact Your Insurance Company: If you have questions about your specific coinsurance percentage, benefits, or coverage, it’s best to contact your insurance company directly.
At ARCH Counseling Center:
- We accept Medicaid (both through HFS and MCOs), private insurance, and self-pay.
- If you have insurance, we will work with your insurance company to verify your coverage and determine your copay or coinsurance amount.
- For clients who pay out-of-pocket, our fees are $140 per hour of individual therapy, and $150 per hour of couples therapy and family therapy.
For questions regarding your insurance coverage or coinsurance amount, please contact your insurance company directly. You can also direct your questions to our billing specialist, Bernard de Wet, at bernard@archcounselingcenter.com.
