ELI5. Please explain all that health insurance language. It’s so confusing…AHHHH

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I’m trying to sign up for health insurance. And I don’t understand at all what are monthly premiums, out-of-pocket costs, deductibles, and any other lingo. Can anyone PLEASE explain this to me like you would to a 5 y/o?

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Anonymous 0 Comments

Monthly premium is the bill you pay to the insurance company each month. When you go to the doctor you will pay a co pay (set amount) or a percentage of the bill. The deductible is how much you need to pay before they cover the costs. So you might need to pay the first $500 at visits and then the insurance starts paying their part. All these vary but normally the higher the monthly payments the lower your deductible and copays will be. Paying less per month means you will have a higher deductible. If you are healthy and rarely need the dr a high deductible is more ok because the chance you will need it is low and you will save on the monthly costs. If you are someone who gets sick frequently or has an ongoing health issue, it is often better to pay more monthly to avoid the big deductible. Weigh the different options of how much you expect to use the insurance and how much you would pay for each option.

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