We pay a premium, which is a monthly or weekly payment to the insurance company in the same amount each time.
Then, when we see a doctor, we have to pay a copay (a single payment in a fixed amount), coinsurance (payment of a particular percentage of the whole cost), and a deductible (either a per-visit or per-year amount where we have to pay ourselves before an insurance company pays). Together, these types of payments are known as member payments, member responsibility, or out of pocket payments, and they’re capped at a particular amount per year (at most $9,200 for an individual or $18,400 for a family).
It’s a complex system, and insurance is only a part of the problem. Plenty of countries have private insurance and don’t have these issues (Germany, Austria, Switzerland, Japan, South Korea). And many of the providers in the US (hospitals, doctors, clinics, labs) are scummy corporate profit-driven providers and try to enrich themselves at the expense of insurance (including government and nonprofit insurance), so there’s a lot of fraud and anti-fraud measures creating messy overhead and inefficiency.
You guys pay for insurance and for medical treatment?
We pay a premium, which is a monthly or weekly payment to the insurance company in the same amount each time.
Then, when we see a doctor, we have to pay a copay (a single payment in a fixed amount), coinsurance (payment of a particular percentage of the whole cost), and a deductible (either a per-visit or per-year amount where we have to pay ourselves before an insurance company pays). Together, these types of payments are known as member payments, member responsibility, or out of pocket payments, and they’re capped at a particular amount per year (at most $9,200 for an individual or $18,400 for a family).
It’s a complex system, and insurance is only a part of the problem. Plenty of countries have private insurance and don’t have these issues (Germany, Austria, Switzerland, Japan, South Korea). And many of the providers in the US (hospitals, doctors, clinics, labs) are scummy corporate profit-driven providers and try to enrich themselves at the expense of insurance (including government and nonprofit insurance), so there’s a lot of fraud and anti-fraud measures creating messy overhead and inefficiency.
Naw just insurance, can’t afford the treatment.
We pay for insurance, out of pocket deductibles and copays. Even when everything is covered.
Not everybody. Some of us just die instead.