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HEALTH

Deductible, copay, coinsurance: what's the difference?

By Insuregear · 5 min read · Updated June 18, 2026

These three decide what you pay at the doctor. Copay: a flat fee per visit. Deductible: what you pay before the plan starts sharing costs. Coinsurance: the percentage you split with the plan after the deductible.

And the out-of-pocket max

Your out-of-pocket maximum is the most you'll pay in a year. Once you hit it, the plan covers 100% of covered care — an important safety net to compare across plans.

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