What are the out-of-pocket costs I may incur?

When considering out-of-pocket costs associated with Priority Health plans, it is important to understand several key components. Generally, members may face various types of expenses, including premiums, deductibles, copayments, and coinsurance. Premiums are the monthly payments that members must make to maintain their coverage. Deductibles refer to the amount that a member must pay for covered health care services before the insurance begins to pay. Once the deductible is met, members typically share costs with the insurer through copayments or coinsurance. Copayments are fixed amounts paid for specific services, such as a doctor's visit, while coinsurance is a percentage of the cost of a service that a member must pay after reaching their deductible. Additionally, it is essential to be aware of maximum out-of-pocket limits. This is the maximum amount a member will pay in a policy year for covered services, after which the insurance pays one hundred percent of the costs. To gain a deeper understanding of these costs and any potential changes, it may be helpful to review specific plan details available on the Priority Health website. This resource can provide clarity on what to expect regarding out-of-pocket expenses.