Mar 31, 2025

What is the difference between a deductible, co-payment, and co-insurance?

  • A deductible is the dollar amount that must be paid by the patient prior to insurance cost-sharing. This amount is determined by the patient’s selected insurance plan.
  • A co-payment is the dollar amount the patient is responsible for paying at each visit.
  • Co-insurance is a form of cost-sharing. The co-insurance is a percentage of the allowable charges that the patient is responsible for paying each visit. After the deductible is met, the insurance will cost-share with the patient and will cover the portion of the allowable charges remaining after the patient’s co-insurance and co-payment are paid.
PT Solutions
Privacy Overview

This website uses cookies so that we can provide you with the best user experience possible. Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful.

Find a Clinic