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Cost sharing

Cost sharing

Cost sharing refers to plans in which you and your insurance company both pay a proportion of medical costs. It is a general term for the share of costs you pay for covered health services. This includes deductibles, coinsurance and copayments. Apart from Medicaid and the Children’s Health Insurance Program (CHIP), cost sharing does not include premium payments.

The Affordable Care Act made certain preventive healthcare services, such as vaccines and cholesterol screening, exempt from cost sharing, creating a cost sharing subsidy for people whose income is below a certain threshold. 

Related Terms: 

Coinsurance

Copayment / copays

Cost sharing reduction (CSR)

Covered expenses

Deductibles

Household income

Preventive health services

 

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