In health insurance, what out-of-pocket fee is paid each time an individual service is rendered?

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The out-of-pocket fee that is paid each time an individual service is rendered is known as a co-payment. This is typically a fixed amount that the insured person pays for specific services, such as a doctor's visit or a prescription medication. Co-payments make healthcare costs more predictable for consumers since the amount is predetermined and commonly outlined in the health insurance policy.

In contrast, a deductible is a set amount that an insured must pay out-of-pocket before their insurance starts to cover costs. Exclusions refer to specific conditions or circumstances that are not covered by the policy. Coinsurance involves sharing costs between the insurer and the insured after the deductible has been met, where the insured pays a percentage of the costs rather than a fixed amount. Understanding these distinctions helps individuals navigate their health insurance plans more effectively.

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