The part of the costs which are the patient’s responsibility. Charges for services and supplies not covered under your plan including deductibles, coinsurance and charges which exceed the allowed charges or the maximum benefits of your plan.
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An agreement and sharing of risk in which persons or companies make regular payments to an insurance Company (the insurer). The Company, in turn, promises to pay money towards specified wellness / preventative services and towards allowed medical services if the covered person becomes ill or injured.