What is Coinsurance in Medicare?
Coinsurance is a percentage of the total you are required to pay for a medical service.
In the federal Medicare programMedicare is a federal health insurance program for people ages 65 and older and people with certain disabilities., Original MedicareOriginal Medicare is private fee-for-service health insurance for people on Medicare. It has two parts. Part A is hospital coverage. Part B is medical coverage. uses coinsurance, whereas Medicare AdvantageMedicare Advantage (MA), also known as Medicare Part C, are health plans from private insurance companies that are available to people eligible for Original Medicare (Medicare Part A and Medicare Part B). health plans primarily use copaymentsA copayment, also known as a copay, is a set dollar amount you are required to pay for a medical service.. Medicare Part AMedicare Part A is hospital coverage for Medicare beneficiaries. It covers inpatient care in hospitals and skilled nursing facilities. It also covers limited home healthcare services and hospice care. and Medicare Part BMedicare Part B is medical coverage for people with Original Medicare benefits. It covers doctor visits, preventative care, tests, durable medical equipment, and supplies. Medicare Part B pays 80 percent of most medically necessary healthcare services. both have coinsurance and deductiblesA deductible is an amount a beneficiary must pay for their health care expenses before the health insurance policy begins to pay its share. that average out to approximately 20% of the total cost of Medicare-approved services.