2022 Lycoming Tioga MA Kit

Health care words to know Understanding your Medicare options and the words that go along with them can be hard. This list of commonly used words and definitions can help. Terms Definitions Coinsurance A percentage of the cost you pay when you receive covered services (for example, 20%). Copay A fixed amount you pay when you receive a covered service or supply. For example, you might pay a $5 copay for a primary care doctor visit. Generally, copays are paid at the time you receive services. Covered services Health care services and supplies that are covered by your plan. Deductible A preset dollar amount you pay for covered services before your plan begins to pay. Not all plans have a deductible, and not all services apply. In-network (IN) A doctor, hospital, facility, or other provider that participates in the UPMC for Life network. Out-of-network (OUT) A doctor, hospital, facility, or other provider that does not participate in the UPMC for Life network. Maximum out-of-pocket This is the most you will have to pay during the coverage year for covered medical services. Once you reach this limit, your plan will pay all costs for covered medical services. This is not a deductible. This limit does not include Part D prescription drug costs. Medicare Basics 1