The Difference Between Copay And Coinsurance

Posted by How To Choose Insurance | How to choose insurance | Wednesday 10 March 2010 4:57 am

The insurance field can be quite confusing. This goes doubly-so for the medical insurance field, so it is best to really have a grasp on the terms used by insurance companies so we can all speak the same language.

Unfortunately, they don’t make it easy. For example, they use the terms ‘coinsurance’ and ‘copay’ very often. If you don’t understand the difference, you can find yourself owing alot of money and not knowing why.

The terms are really simple, once you understand them:

Coinsurance: coinsurance is a term used for a percentage amount you are responsible for. For example if your insurance policy is 80/20, where you are responsible for paying 20% of your bill, the 20% is a coinsurance.

Copay: copay is usually a flat fee. For example, every time you go to the doctor you pay a 25.00 copay for the office visit, regardless of the level of service you receive.

Be careful, though. Normally, copays do not apply to deductibles, where coinsurance does. You may find yourself being nickle-and-dimed in copay fees, then stuck with a higher deductible should anything major come up. Check your insurance policy to make sure.

The more you know about the terms in your insurance policy, the more you will understand what rights you have, and which insurance programs are right for you.

Jerry Hanel is partial owner of InsuranceQNA.com.

Life Insurance The Facts

Posted by How To Choose Insurance | How to choose insurance | Friday 31 July 2009 1:59 pm

Insurance involves transferring a risk that you bare, onto an insurance company, so that you no longer have to worry about the event occurring. While you pay a fee, or premium for this, what you get in return is peace of mind. So what is the risk that you are transferring with life insurance? Well, quite simply, it is the financial risk of your own death. It should also be remembered that it is in certain circumstances possible to insure the life of another person, such as your husband or wife, or an important employee. The insurance company will then pay out to the named beneficiary once the event occurs, and this is usually a family member or business associate of the insured.

The thing that insurance companies will be looking for is insurable interest. It may come as a surprise but in the early days of aviation, there were some clever entrepreneurs who would hang around at airports and buy life insurance policies on the passengers. Since plane crashes were very common, a good proportion of the insured passengers died and the insurance companies were faced with the prospect of paying out vast sums to these men.

This is not the reason insurance was developed and the system was not designed to cope with this kind of speculation. Therefore the rule developed that you could only insure the life of someone you had a real interest in surviving. There is also the public policy issue that it would be tempting to some people to insure strangers and then make sure they died soon.

The insurance policy will have two important details defined right at the outset. The first is who is to be paid out under the policy. While this seems obvious, it is important to think carefully about it as, unlike in most insurance contracts, the purchaser of the policy is rarely the beneficiary under a life insurance policy.

The second is the amount to be paid out on to occurrence of the event. It must be remembered that this is also subject to the rule of insurable interest and therefore you cannot have a policy on your life for more than your life is reasonably financially worth. Since the premium is partially calculated on the amount of the payout, you will simply be paying for more insurance than you can receive. Therefore be honest with how much you earn and how much support your providing to your family so that the premium will be accurately assessed.

Joseph Kenny is the webmaster of the insurance site http://www.insure121.com/ where you will find information, news and links to the leading providers of insurance in the UK. If you found this article interesting you may find more articles of the same nature in the insurance guide located on site.