Which aspect of health insurance refers to the amount paid by the insured for services after the deductible?

Prepare for the California Accident and Sickness Exam with multiple choice questions and detailed explanations. Study effectively and ace your exam!

The aspect of health insurance that refers to the amount paid by the insured for services after the deductible is coinsurance. Coinsurance is a cost-sharing arrangement in which the insured is responsible for paying a certain percentage of the covered medical expenses after the deductible has been met. For example, if a policy specifies a 20% coinsurance, the insured pays 20% of the costs while the insurance company covers the remaining 80%.

Understanding coinsurance is crucial for policyholders because it affects out-of-pocket expenses and overall healthcare costs. It encourages insured individuals to consider the costs of services, as they will be sharing a portion of those costs with the insurer.

In contrast, exclusions refer to specific conditions or circumstances that are not covered by the insurance policy. A co-payment is a fixed amount the insured pays for specific services (like a doctor's visit or prescription) at the time of service, which is different from coinsurance, as it does not involve a percentage of costs after the deductible. Premiums are the regular payments made to maintain insurance coverage and are not directly related to the costs incurred after the deductible. Understanding these distinctions helps individuals navigate their insurance plans effectively and manage their medical expenses wisely.

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