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Co-insurance is calculated based on a:

a. The number of policy holders in a plan
b. A fixed charge for each visit
c. A capitation rate
d. Percentage of a charge

1 Answer

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Final answer:

Co-insurance is the amount an insured individual must pay as a percentage of their medical expenses, with the insurer covering the rest. This cost-sharing mechanism is designed to prevent moral hazard by having the insured bear a portion of the costs.

Step-by-step explanation:

Co-insurance is calculated based on a percentage of a charge. This means that when an insurance policyholder seeks medical care, they are required to pay a certain percentage of the total costs incurred. For instance, if a policy has a 20% co-insurance rate, the policyholder would pay 20% of the medical expenses, while the insurance company would cover the remaining 80%. Co-insurance is one of several cost-sharing mechanisms in health insurance, alongside deductibles and co-payments, that are designed to share the cost burden between the insured and the insurer.

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