How does "Coinsurance" function in medical insurance?

Prepare for the Virginia Health Insurance Exam. Utilize flashcards and multiple choice questions, each with hints and explanations, to boost your knowledge. Get exam-ready today!

Coinsurance is a cost-sharing arrangement in medical insurance where both the insured individual and the insurance company share the expenses incurred from medical services after the deductible has been met. Typically expressed as a percentage, coinsurance requires the insured to pay a certain percentage of the costs while the insurer pays the remaining percentage. For example, if a policy includes a 20% coinsurance requirement, then after the deductible has been paid, the insured would be responsible for 20% of the medical expenses, while the insurer would cover the remaining 80%. This mechanism encourages insured individuals to be more conscious of their healthcare spending, as they are responsible for a portion of the costs.

The other options do not accurately describe how coinsurance functions. For instance, paying the full amount upfront does not involve cost sharing; the insurer paying all costs does not embody the essence of coinsurance, and the insured being entirely responsible after the deductible contradicts the fundamental principle of cost-sharing present in coinsurance agreements.

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