How Does Co-Insurance work?

The co-insurance is the percentage portion of your claim payable by the insurance company. For example:

a) If you are enrolled in Benefit Level 02, your co-insurance on dental expenses is 50% and you can claim to a maximum of $1,000 annually. If you submit a dental bill for $1,000 then the payable will be $500. providing your dental expenses qualify. If you submit a dental bill for $2,000, the amount payable will be $1,000. providing your dental expenses qualify.

b) If you are enrolled in Benefit Level 03, your co-insurance on dental expenses is 80% and you can claim to a maximum of $1,500 annually. If you submit a dental bill for $1,500 then the payable will be $1,200 providing your dental expenses qualify. If you submit a dental bill for $2,000, the amount payable will be $1,500 providing your dental expenses qualify.