What is an enrollee cost sharing?
Enrollee cost sharing is an important part of health insurance law in Hawaii. It is a system in which the enrollee, or the insured party, is responsible for some of the costs associated with their health care. This typically includes co-payments, coinsurance, and deductibles. Co-payments are a set fee charged for certain services, such as office visits and prescriptions. Coinsurance is a percentage of the total cost of a service that the enrollee is responsible for paying, usually after any deductible amount has been met. Finally, a deductible is the total amount the enrollee must pay out-of-pocket before their insurance plan begins to cover their expenses. Enrollee cost sharing serves to make health care more affordable, since it helps to offset the cost of insurance premiums. This means that insurance providers can keep their rates lower while still providing coverage to enrollees. In addition, it helps to incentivize enrollees to be more cognizant of their own health needs, and to practice preventive care. This helps to reduce the overall cost of health care for the provider.
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