GNMS: Benefit Terms Review

This is a fixed amount that members must pay for certain medical or prescription services.

• Copay

• Deductible

• Benefit Level/Coinsurance

• Out-of-Pocket Expenses

• CDHP

Accounts provided to members to be used for medical expenses.

• Copay

• Deductible

• Benefit Level/Coinsurance

• Out-of-Pocket Expenses

• CDHP

The percentage of healthcare costs that members must pay after the deductible has been met.

• Copay

• Out-of-Pocket Expenses

• Benefit Level/Coinsurance

• Maximum

• CDHP

The maximum amount a member needs to pay for his/her healthcare expense in a calendar/contract year.

• Copay

• Deductible

• Benefit Level/Coinsurance

• Out-of-Pocket Expenses

• CDHP

A specified dollar amount the member will be responsible for paying before benefits under that plan will be available.

• Copay

• Deductible

• Benefit Level/Coinsurance

• Maximum

• CDHP

The top number of services/products a member can have covered in a benefit period.

• Copay

• Out-of-Pocket Expenses

• Benefit Level/Coinsurance

• Maximum

• CDHP