What is an enrollee cost sharing?

Enrollee cost sharing is a type of health insurance law that applies in Maine. This type of law requires that individuals enrolled in a health insurance plan make a financial contribution to their healthcare coverage. Enrollee cost sharing can include copayments, coinsurance, and deductibles. Copayments are a set amount that the enrollee must pay for each healthcare service they receive. For example, an enrollee may pay a $15 copayment each time they visit their doctor. Coinsurance is a percentage of the cost of a service that the enrollee must pay. For example, if a visit to the doctor costs $100, the enrollee may re responsible for paying 20% of that cost, or $20. Deductibles represent an annual amount that the enrollee must pay before the health insurance company begins to cover any costs. For example, an enrollee may have a $500 deductible, which means that they must pay the first $500 of medical costs each year before their health insurance plan starts to cover those costs. Enrollee cost sharing is an important part of health insurance law in Maine. It helps to reduce healthcare costs by encouraging enrollees to think twice before seeking medical services and ensuring that those services are necessary.

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