Plan deductible - The expenses a member must cover before the insurer covers expenses. The lower the plan deductible, the higher the premium.
Out-of-pocket limit - The maximum annual amount the insurer will require a member to contribute toward the cost of care. The lower the out-of-pocket limit, the higher the premium.
Coinsurance level - The percent of the allowed amounts for covered services that the insurer will pay after the deductible is met. Plans range 50% to 100%.
Copayment for services - The fixed dollar amount that's due when the covered service is provided. In most cases, this is the only cost that the member is responsible for paying – the plan covers the majority of the cost of services.