Ready To Build Your Plan?
BAS Urgent & Wellness
Starting From $79.95
Enroll before the 15th of the month to start your benefits on the 1st of the following month.
Need To Speak To An Expert?
Get personalized advice tailored to your needs. Contact Us
BAS Urgent & Wellness
$79.95
How Benefit Airship Works
Learn More About Healthcare
We know medical insurance jargon can be confusing, with terms that sound similar but mean very different things.
-
Let’s say your plan has 20% coinsurance.
After you’ve paid your deductible, you’ll pay 20% of the bill, and your insurance will pay 80%.So if a surgery costs $1,000, you would pay $200, and your insurance would pay $800 (after the deductible is met).
-
A deductible is the amount of money you have to pay for your health care each year before your insurance starts helping.
For example:
If your deductible is $1,000, that means you pay the first $1,000 of your medical bills. After that, your insurance will start paying its share. -
Your maximum out-of-pocket is the most you’ll have to pay in a year for covered medical care. Once you hit that amount — through things like deductibles, copays, and coinsurance — your insurance will pay 100% of the costs for the rest of the year.
For example, if your maximum out-of-pocket is $6,000, once you've paid that much for things like doctor visits, prescriptions, and hospital stays, you won't have to pay anything else for covered care that year. It’s like a safety cap that protects you from extremely high medical bills.
-
A copay is a small, fixed amount you pay for a health care service — like a doctor visit or a prescription — even after your insurance kicks in.
-
Tier 1 – Generic drugs
These are the lowest-cost drugs. They work the same as brand-name drugs but are much cheaper.Tier 2 – Preferred brand-name drugs
Brand-name drugs that your insurance company prefers. They cost more than generics but less than non-preferred brands.Tier 3 – Non-preferred brand-name drugs
These brand-name drugs are not on your insurance company’s preferred list, so they cost more.In short:
Drug tiers help your insurance decide how much you pay for each medication. Lower tiers = lower cost to you. -
A premium is the amount you pay every month to keep your health insurance active — even if you don’t go to the doctor or use any services.
Think of it like a subscription fee — just like you pay monthly for Netflix or your phone plan, you pay your insurance premium to stay covered.