Co-Insurance For Travel Medical Insurance

What Co-Insurance in Travel Insurance?

Co-insurance refers to the percentage of medical expenses you’re required to pay after reaching your policy’s deductible. While co-insurance is generally found in health insurance policies, it can also be a feature in some travel insurance plans.

The majority of travel insurance policies will cover all of your covered medical costs up to your coverage limit. Some plans, however, will require you to pay 10%-20% of your medical expenses after your medical deductible is met.

Not all travel insurance plans include co-insurance, and co-insurance percentages and deductible amounts can differ by policy.

How Does Co-Insurance Work?

Co-insurance is similar to a copayment, as it’s a way for insurers and policyholders to split the cost of medical expenses in the event of a claim. A key difference is that a co-insurance is percentage-based, while a copay is typically a fixed dollar amount.

As an example, let’s say you purchase a travel insurance policy that includes an 80/20 co-insurance provision and a $500 medical deductible. Once you pay your $500 deductible out-of-pocket, you will then be responsible for 20% of all remaining medical expenses until you reach your coverage limit.

Travel insurance policies can offer different co-insurance percentages based on whether or not you are in-network or out-of-network. Percentages may also vary depending on whether or not you are traveling domestically or abroad.

What is a Good Amount of Co-Insurance?

Simply put, the lower percentage of medical costs you’re responsible for when traveling, the better. Ideally, your travel insurance company will cover 100% of your healthcare costs after you meet your deductible.

Just because a travel insurance policy includes a co-insurance provision does not mean it is a bad policy. Any type of travel medical coverage can help mitigate the financial risks or getting sick or injured while you’re away from home.

Please be aware that coverage and eligibility requirements for this benefit differ by policy. The tables below show the providers that offer Co-Insurance coverage.

Co-Insurance by Provider

Last Updated: 08/28/2024

HTH Travel Insurance
Policy Name and Summary of Coverage		Full Policy Wording
1	TravelGap Voyager excl US Plan pays 100% after deductible	Plan pays 100% after deductible. Read Hide Full Policy Wording
	Plan pays 100% after deductible. Read Hide Full Policy Wording
2	TravelGap Excursion excl US Plan pays 100% after deductible	Plan pays 100% after deductible. Read Hide Full Policy Wording
	Plan pays 100% after deductible. Read Hide Full Policy Wording

IMG
Policy Name and Summary of Coverage		Full Policy Wording
3	Patriot America Plus Plan pays 100% in PPO network Plan pays 80% outside PPO network	Coinsurance In addition to Deductible: In-Network: Plan pays 100%, Insured pays 0% Out-of-Network: Plan pays 80%, Insured pays 20% Read Hide Full Policy Wording
	Coinsurance In addition to Deductible: In-Network: Plan pays 100%, Insured pays 0% Out-of-Network: Plan pays 80%, Insured pays 20% Read Hide Full Policy Wording
4	Patriot America Platinum Plan pays 100% in PPO network Plan pays 90% outside PPO network	Coinsurance, In addition to Deductible: In-Network – Plan pays 100%, Insured pays 0% Out-of-Network – Plan pays 90%, Insured pays 10% Read Hide Full Policy Wording
	Coinsurance, In addition to Deductible: In-Network – Plan pays 100%, Insured pays 0% Out-of-Network – Plan pays 90%, Insured pays 10% Read Hide Full Policy Wording
5	Patriot America Lite Plan pays 100% in PPO network Plan pays 80% outside PPO network	Coinsurance, In addition to Deductible: In-Network – Plan pays 100%, Insured pays 0% Out-of-Network – Plan pays 80%, Insured pays 20% Read Hide Full Policy Wording
	Coinsurance, In addition to Deductible: In-Network – Plan pays 100%, Insured pays 0% Out-of-Network – Plan pays 80%, Insured pays 20% Read Hide Full Policy Wording
6	Patriot International Lite Plan pays 100% after deductible	Coinsurance, In addition to Deductible: Plan pays 100%, Insured pays 0% Read Hide Full Policy Wording
	Coinsurance, In addition to Deductible: Plan pays 100%, Insured pays 0% Read Hide Full Policy Wording
7	Patriot International Platinum Plan pays 100% after deductible	Coinsurance, In addition to Deductible: Plan pays 100%, Insured pays 0% Read Hide Full Policy Wording
	Coinsurance, In addition to Deductible: Plan pays 100%, Insured pays 0% Read Hide Full Policy Wording

Seven Corners
Policy Name and Summary of Coverage		Full Policy Wording
8	Travel Medical Basic incl US Plan pays 100% after deductible outside USA	3.1 Deductible, Copay and Coinsurance. Subject to Section 1.6, the Deductible and Coinsurance are per Insured Person and per Period of Coverage. They are applied to Covered Expenses and must be paid by You prior to receiving payment or reimbursement of benefits under this Certificate. Copays are per Insured Person, per service or supply, and are not subject to a limit. In no event will the Company’s maximum liability exceed the amount in the Schedule of Benefits. Deductible: The Deductible is in the Schedule of Benefits. It is separate from and does not include Copay or Coinsurance. Copay: The Copays are in the Schedule of Benefits. They are separate from and do not include Deductible or Coinsurance. Coinsurance: Inside the United States: In PPO Network: 100% to Medical Maximum Out of PPO Network: 80% of the first $10,000 in Covered Expenses, then 100% to Medical Maximum Outside the United States: 100% to Medical Maximum Read Hide Full Policy Wording
	3.1 Deductible, Copay and Coinsurance. Subject to Section 1.6, the Deductible and Coinsurance are per Insured Person and per Period of Coverage. They are applied to Covered Expenses and must be paid by You prior to receiving payment or reimbursement of benefits under this Certificate. Copays are per Insured Person, per service or supply, and are not subject to a limit. In no event will the Company’s maximum liability exceed the amount in the Schedule of Benefits. Deductible: The Deductible is in the Schedule of Benefits. It is separate from and does not include Copay or Coinsurance. Copay: The Copays are in the Schedule of Benefits. They are separate from and do not include Deductible or Coinsurance. Coinsurance: Inside the United States: In PPO Network: 100% to Medical Maximum Out of PPO Network: 80% of the first $10,000 in Covered Expenses, then 100% to Medical Maximum Outside the United States: 100% to Medical Maximum Read Hide Full Policy Wording
9	Travel Medical Choice incl US Plan pays 100% after deductible outside USA	3.1 Deductible, Copay and Coinsurance. Subject to Section 1.6, the Deductible and Coinsurance are per Insured Person and per Period of Coverage. They are applied to Covered Expenses and must be paid by You prior to receiving payment or reimbursement of benefits under this Certificate. Copays are per Insured Person, per service or supply, and are not subject to a limit. In no event will the Company’s maximum liability exceed the amount set forth in the Schedule of Benefits. Deductible: The Deductible is set forth in the Schedule of Benefits. They are separate from and do not include Copay or Coinsurance. Copay: The Copays are in the Schedule of Benefits. It is separate from and does not include Deductible or Coinsurance. Coinsurance:See the Schedule of Benefits Read Hide Full Policy Wording
	3.1 Deductible, Copay and Coinsurance. Subject to Section 1.6, the Deductible and Coinsurance are per Insured Person and per Period of Coverage. They are applied to Covered Expenses and must be paid by You prior to receiving payment or reimbursement of benefits under this Certificate. Copays are per Insured Person, per service or supply, and are not subject to a limit. In no event will the Company’s maximum liability exceed the amount set forth in the Schedule of Benefits. Deductible: The Deductible is set forth in the Schedule of Benefits. They are separate from and do not include Copay or Coinsurance. Copay: The Copays are in the Schedule of Benefits. It is separate from and does not include Deductible or Coinsurance. Coinsurance:See the Schedule of Benefits Read Hide Full Policy Wording

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