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I’m shopping for health insurance. (U.S., federal exchange, I’ll be losing COBRA which is a qualifying life event.) One of the plans describes its emergency room costs as:
$100 Copay before deductible/40% Coinsurance after deductible
This makes no sense to me. When coverage is described relative to a deductible, I presume I’m responsible for 100% until I hit the deductible.
Let’s say I got a $2000 ER bill.
The above description seems to say:
It makes no sense to me that my responsibility would be smaller before I met my deductible than after.
How would this really work?
(Added later) (but turns out to be irrelevant) Here are examples of how a similar plan (“$100 Copay before deductible/30% Coinsurance after deductible”) works, using the two standard coverage examples:
(I have no idea how a plan with a $100 copay ends up in this example with a $20 copay. $740 is 30% of $2,466.67; I don’t see where that number comes from.
(Similar mysteries apply.)