Coinsurance: $15,000 Bill, $3,000 Deductible, $5,000 Out-of-Pocket Max
On a $15,000 medical bill with a $3,000 deductible and 20% coinsurance, your $5,000 out-of-pocket maximum will cap your total liability.
How to use this tool
- Enter the insurer-allowed amount for the medical care.
- Enter the deductible you still have left to meet this year.
- Enter your coinsurance percentage and your remaining out-of-pocket maximum.
- Read what you pay versus what the insurer pays.
See how your out-of-pocket maximum limits your costs on a large $15,000 medical bill with 20% coinsurance.
Frequently asked questions
- What is the difference between coinsurance and a copay?
- A copay is a flat dollar amount for a service (e.g. $30 for a visit). Coinsurance is a percentage of the bill that you pay after meeting your deductible.
- Does coinsurance count toward my out-of-pocket maximum?
- Yes. Deductible payments and coinsurance both count toward the out-of-pocket maximum. Once you hit that cap, the insurer pays 100% of further allowed costs.
- Do I still pay coinsurance before meeting my deductible?
- No. You pay the full allowed cost until the deductible is met; coinsurance only applies to the amount of the bill above your remaining deductible.