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What's the Difference Between Copay and Coinsurance?

Posted By Kristi DeWitt-Quintero, Delta Dental of AZ, Monday, March 19, 2018
Updated: Monday, March 12, 2018

Copayment and coinsurance are both ways you help share the costs of dental care with Delta Dental. Most of the time, Delta Dental members have a copay or coinsurance, but not both.2 Here’s what you need to know:

Copayment, also known as a copay, is a set amount you are required to pay your dentist for a service.

When you have a copayment, you may not have to worry about a deductible or an annual maximum. A deductible is the set dollar amount you have to pay before your dental plan kicks in for covered services. Deductible amounts vary from plan to plan. An annual maximum is the most a dental plan will pay toward your dental care within a specific period, typically a calendar year.

Coinsurance is a fixed percentage of a treatment cost you share with your dental plan. For example, you may be responsible for 20 percent of a given service while Delta Dental covers the other 80 percent. Meaning that if your total bill is $100 for a given service, you’ll pay $20 and Delta Dental will pay $80. However, you must first meet your deductible and you may have an annual maximum for the year.

To learn more about your dental plan’s copay or coinsurance, login at deltadental.com or on Delta Dental’s free mobile app. You can also call the customer service number on your Delta Dental ID card.

 

Interested in learning more about ASBA's exclusive dental and vision plans for members? Contact Ashley Vizzerra for a quote today!

 

WANT MORE ORAL HEALTH TIPS AND NEWS?

Visit the Delta Dental of Arizona Blog

 

SOURCES

2https://www.nerdwallet.com/blog/health/copay-vs-coinsurance/

Tags:  Delta Dental  dental  health  healthy  insurance 

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