What does the term 'co-insurance' mean in Medicare?

Enhance your knowledge for the AHIP Medicare Test. Study with flashcards and multiple choice questions, all equipped with hints and explanations. Prepare effectively for your certification exam!

Co-insurance in the context of Medicare refers to the percentage of the costs that beneficiaries are responsible for after they have met their deductible. This means that once a beneficiary pays their deductible amount, they will continue to be responsible for a certain percentage of the remaining healthcare costs for services received. For example, if the co-insurance rate is 20%, the beneficiary would pay 20% of the costs for covered services, while Medicare would cover the remaining 80%. This structure helps to share the financial responsibility between Medicare and the beneficiary, making it essential for Medicare recipients to understand how co-insurance works when budgeting for healthcare expenses.

The other options do not accurately reflect the definition of co-insurance. The flat fee mentioned refers to co-pays, while pre-service payments symbolize deductibles, and preventative service costs usually have different payment structures that do not involve co-insurance.

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