What does 20% copay after deductible mean?

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  • What does 20% copay after deductible mean?


Answer #1 | 18/12 2013 14:31
yes you will have to pay the deductible plus 20% of the hospital bills. this can get expensive so you should limit your self on how many nights you stay in the hospital after birth and pray you don't have a nicu baby. I would ask about / read the details of your potential new born's bill. if your baby has health problems then you really should consider changing your insurance. on the potential plus side. you need to see if "max out of pocket" trumps the 20% then what i said above is null. Best of luck any hope you have a happy family
Answer #2 | 18/12 2013 15:30
It means, you pay 20% of the cost, until you've hit $6350. Then you pay nothing.
Answer #3 | 18/12 2013 17:39
you pay 20% of ALL of your bills until you've spent $6350...which would take nearly $32,000 of medical bills to get to that maximum.
Answer #4 | 18/12 2013 21:45
No. "$6350 max out of pocket" means that you don't pay more than $6350. It means you pay $6350 or less. "20% copay after deductible" means that you pay a) the deductible (which you said is $0) plus 20% of the remaining bill, on top of the deductible (which you said is $0), if this total is less than the max out of pocket, or b) If that total is more than the max out of pocket, then you pay only the max out of pocket. For example, if the deductible was $1000 and the max out of pocket was $5000, then (a) if the total is $3000, then you'd pay $1000 plus 20% of $2000 ($3000 minus $2000), and the insurance would pay 80% of $2000, but (b) if the total was $5 million, you'd still pay only $6350, because that's the max. In your case, because the deductible is $0, the phrase "after deductible" doesn't really mean anything. If the total is less than 5 times $6350, then you pay 1/5th (20%). If the total is more than 5 times $6350, then you'll pay $6350.
Answer #5 | 19/12 2013 12:18
You pay 20% of each charge. Yes, on top of the out of pocket.

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