Secure your health, protect your future. Finding the right health insurance involves understanding costs like copays, deductibles, and coinsurance while ensuring access to trusted providers and affordable coverage for your family’s needs.
Having the right health insurance in place is important. Not only do you need the right coverage at an affordable rate, but also access to the healthcare providers you trust for the services you and your family need. Our licensed agents at Prime Coverage Solutions can help you find the best fit in an individual and family health insurance plan.
There is much to consider in selecting a health insurance plan. In addition to the cost of the coverage and the providers on the plan, you will also want to consider the details below.
Copayment, often referred to as a “copay,” is a fixed amount that a patient pays for covered health care services, typically at the time of service. The amount can vary depending on the type of service or medication. Copayments are a form of cost-sharing between the insurance company and the insured individual, with the insurance company covering the remaining cost of the service after the copayment is made
In health insurance, a deductible is the amount of money you are required to pay out of pocket for covered health care services before your insurance plan starts to pay. For example, if your plan has a $1,000 deductible, you will need to pay the first $1,000 of covered services yourself. After you have paid your deductible, your insurance plan will begin to cover some or all of the costs of your care, depending on your specific plan. Deductibles can vary widely depending on the plan, so it’s important to understand your plan’s deductible and how it works.
Coinsurance in health insurance is the percentage of costs of a covered health care service that you are required to pay after you’ve paid your deductible. For example, if your coinsurance is 20%, you would pay 20% of the cost of a medical service, and your insurance company would pay the remaining 80%. Coinsurance is different from a copayment, where you pay a fixed amount (e.g., $20) for a covered service after you’ve paid your deductible
Need to see your options? Request a call from one of our licensed agents.
Open enrollment for 2027 Marketplace plans runs November 1, 2026 to January 15, 2027. Key deadlines and what changed.
Read the guide →Qualifying life events, the 60-day window, and the documents you need to enroll outside open enrollment.
Read the guide →Who qualifies for a Florida Marketplace plan, 2027 income limits for tax credits, and what affects your premium.
Read the guide →A copay is a fixed amount you pay for a covered service, such as $20 for a doctor visit. Coinsurance is a percentage of the cost you pay after meeting your deductible, such as 20%.
Many households qualify for premium tax credits on Marketplace plans based on income and household size. A licensed agent can check your eligibility and show plans with the savings applied.
A Special Enrollment Period lets you enroll outside open enrollment after a qualifying life event, such as losing coverage, moving, marriage or the birth of a child. You usually have 60 days from the event to enroll.
