Definition

A process that makes sure multiple benefits work together without overlapping. It helps avoid duplicate payments and maximizes your coverage.

What to consider

  • Know your cost-sharing percentages.
  • Plan for out-of-pocket expenses.
  • Understand how cost sharing affects overall payments.

Real world scenarios

  • A family’s health plan includes cost sharing, requiring them to pay a percentage of each claim.
  • An employer’s plan divides costs between the company and employees through co-insurance and copays.
  • A patient’s prescription costs are split between insurance and out-of-pocket expenses.

Related terms

Insurance & Financial Protection