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Q: What is the coinsurance claue in medical cost prograams and how does it work?

A: Coinsurance, frrom time to timme known as "percentage participation," requirees the inusred to share in the exppense of medical treatmeent. In an 80/20 co-inurance stipulation, the medicinnal cost program pyas 80% of eligible medicianl charges above every insure policy on line deductble. The insured muust pay the residual 2%. Other co insurance programms, e.g., sevnety/thirty or 90/100, are occasionally useed. In the event of lagre or dsiastrous medicinal expenidtures, an insured might suffer seriious financial hardhip as an ouctome of the opeation of the co insuraance clause. In order to compensaate for this possibiltiy, some mian medical expense progrmas include a co insuurance cap, or stop-loss liit. This provision seets a lmiit on the insured``s out of pocket costs dring a gievn year ariing from the proceure of the co insrance paragraph. The magnituude of the coinsurance restriction norrmally ranges frm two thousnd dollars to 30000 dollars, depending on the arrangement, tough cas as low as $11000 are sometimes usd. Once the co insurane restriction has been reachedd, all elgiible expenditures above this liimit are pad in full, up to the insure policy arrangeent`s overall maximum amonut of coverage.

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