Having health insurance makes it possible to receive medical care while only paying a fraction of that careâs true cost. Insurance doesnât cover everything, however. Some of the cost of your care is still up to you to pay, and that cost comes in two primary forms: copays and coinsurance.
What Is a Copay?
A copay is a flat amount of money that youâre responsible for paying for a health care service. Copays typically apply for things like a doctorâs appointment, prescription drug or medical test. The amount of your copay is dependent on your specific health insurance plan.
You can typically expect to pay your copay when you check in for your service, be it an annual physical, dental cleaning or blood test. Copays are typically lower amounts ranging from $10 for something like a generic drug prescription to around $65 for a visit to a medical specialist.
Depending on your insurance plan, copays may not take effect until after you reach your deductible. Your deductible is the amount of money you must pay out-of-pocket before your insurance provider starts to pitch in. Deductibles reset at the beginning of every year.
When you are reviewing your plan information and you see the phrase âafter deductibleâ or âdeductible appliesâ in reference to your copays, thatâs an indication that the copay is only in place once you meet your deductible. On the other hand, if you see âdeductible waived,â thatâs a sign that your copay is in place from the beginning. It may go without saying, but the latter situation is vastly preferable to you.
What Is Coinsurance?
Coinsurance is another method of splitting the cost of medical coverage with your insurance plan. A coinsurance is a percentage of the cost of services. You pay the percentage, and your insurance company foots the rest of the bill. So, if you have a $8,000 medical bill and a 20% coinsurance, you would be on the hook for $1,600.
Coinsurance typically only comes into play after you hit your deductible. Further, you may have differing coinsurance percentages for the same services depending on your provider network. If you have a preferred provider organization (PPO) plan, your coinsurance could be a higher percentage for providers outside your network than it is for providers in your network.
Similarly, your coinsurance may not apply to providers outside your network if you have a health maintenance organization (HMO) plan or an exclusive provider organization (EPO) plan. Thatâs because these plans typically donât provide any out-of-network coverage.
Copay vs. Coinsurance
Copay and coinsurance are very similar terms. They both have to do with portions of the cost of your health care thatâs under your responsibility. Because of that, and their similar names, itâs easy to confuse the two. There are a couple of important distinctions to keep in mind, however.
The most notable difference between copays and coinsurance is that copays are always a flat amount and coinsurance is always a percentage of the cost of the service. Another difference is that some copays can be in place before you hit your deductible, depending on the specifics of your plan. With coinsurance, you have to hit your deductible first.
Bottom Line
If youâre choosing between health insurance plans, make sure to examine the provided copays and coinsurance for each option. While they may not be the most important factor to consider, a high copay can be quite a pain, especially over the course of years of appointments and procedures.
Tips for Staying on Top of Medical Expenses
One of the best ways to stay ahead of surprise medical expenses is to have an emergency fund in place for just such a situation. If you can manage it, have three to six months worth of expenses stashed away in a high-yield savings account. That way, if youâre dealing with medical bills or have to step away from work, youâll have a bit of a cushion.
If youâre not sure how an unexpected medical expenses would fit into your finances, consider working with a financial advisor to develop a financial plan. Finding the right financial advisor that fits your needs doesnât have to be hard. SmartAssetâs free tool matches you with financial advisors in your area in 5 minutes. If youâre ready to be matched with local advisors that will help you achieve your financial goals, get started now.
Itâs pretty hard to argue against having more money in the bank.
But what are you saving for? If you donât have solid financial goals, all those hoarded pennies might end up in limbo when they could be put to good use.
Figuring out where your money should go might seem daunting, but itâs actually a lot of fun.
You get to analyze your own priorities and decide exactly what to do with your hard-earned cash.
But to make the most of your money, follow a few best practices while setting your goals.
After all, even if something seems like exactly what you want right now, it might not be in future-youâs best interest. And youâre playing the long game⦠thatâs why theyâre called goals!
What to Do Before You Start Writing Your Financial Goals
To help keep you from financial goals like âbuy the coolest toys and cars,â which could easily get you deeply into debt while you watch your credit score plummet, weâve compiled this guide.
Itâll help you set goals and create smart priorities for your money. That way, however you decide to spend your truly discretionary income, you wonât leave the 10-years-from-now version of you in the lurch.
First Thingâs First: How Much Money Do You Have?
You canât decide on your short- or long-term financial goals if you donât know how much money you have or where itâs going.
And if youâre operating without a budget, it can be easy to run out of money well before you run out of expenses â even if you know exactly how much is in your paycheck.
So sit down and take a good, hard look at all of your financial info.
A ton of great digital apps can help you do this â here are our favorite budgeting apps â but it can be as simple as a spreadsheet or even a good, old-fashioned piece of paper. It just takes two steps:
Figure out how much money you have. It might be in checking or savings accounts, including long-term accounts like IRAs. Or, it might be wrapped up in investments or physical assets, like your paid-off car.
Assess any debts you have. Do you keep a revolving credit card balance? Do you pay a mortgage each month? Are your student loans still hanging around?
Take the full amount of money you owe and subtract it from the total amount you have, which you discovered in step one. The difference between the two is your net worth. Thatâs the total amount of money you have to your name.
If it seems like a lot, cool. Hang tight and donât let it burn a hole in your pocket. Weâre not done yet.
If it seems like⦠not a lot, well, you can fix that. Keep reading.
Create a Budget
Once youâve learned your net worth, you need to start thinking about a working budget.
This will essentially be a document with your total monthly income at the top and a list of all the expenses you need to pay for every month.
And I do mean all of the expenses â even that $4.99 recurring monthly payment for your student-discounted Spotify account definitely counts.
Your expenses probably include rent, electricity, cable or internet, a cell phone plan, various insurance policies, groceries, gas and transportation. It also includes categories like charitable giving, entertainment and travel.
Pro Tip
Print out the last two or three months of statements from your credit and debit cards and categorize every expense. You can often find ways to save by discovering patterns in your spending habits.
Itâll depend on your individual case â for instance, I totally have âwineâ as a budget line item.
See? Itâs all about priorities.
Need to go back to basics? Hereâs our guide on how to budget.
Start by listing how much you actually spent in each category last month. Subtract your total expenses from your total income. The difference should be equal to the amount of money left sitting in your bank account at monthâs end.
Itâs also the money you can use toward your long-term financial goals.
Want the number to be bigger? Go back through your budget and figure out where you can afford to make cuts. Maybe you can ditch the cable bill and decide between Netflix or Hulu, or replace a takeout lunch with a packed one.
You donât need to abandon the idea of having a life (and enjoying it), but there are ways to make budgetary adjustments that work for you.
Set the numbers youâre willing to spend in each category, and stick to them.
Congratulations. Youâre in control of your money.
Now you can figure out exactly what you want to do with it.
Setting Financial Goals
Before you run off to the cool-expensive-stuff store, hold on a second.
Your financial goals should be (mostly) in this order:
Build an emergency fund.
Pay down debt.
Plan for retirement.
Set short-term and long-term financial goals.
We say âmostlyâ because itâs ultimately up to you to decide in which order you want to accomplish them.
Many experts suggest making sure you have an emergency fund in place before aggressively going after your debt.
But if youâre hemorrhaging money on sky-high interest charges, you might not have much expendable cash to put toward savings.
That means youâll pay the interest for a lot longer â and pay a lot more of it â if you wait to pay it down until you have a solid emergency fund saved up.
1. Build an Emergency Fund
Finding money to sock away each month can be tough, but just starting with $10 or $25 of each paycheck can help.
You can make the process a lot easier by automating your savings. Or you can have money from each paycheck automatically sent to a separate account you wonât touch.
You also get to decide the size of your emergency fund, but a good rule of thumb is to accumulate three to six times the total of your monthly living expenses. Good thing your budget is already set up so you know exactly what that number is, right?
You might try to get away with a smaller emergency fund â even $1,000 is a better cushion than nothing. But if you lose your job, you still need to be able to eat and make rent.
2. Pay Down Debt
Now, letâs move on to repaying debt. Whyâs it so important, anyway?
Because youâre wasting money on interest charges you could be applying toward your goals instead.
So even though becoming debt-free seems like a big sacrifice right now, youâre doing yourself a huge financial favor in the long run.
Thereâs lots of great information out there about how to pay off debt, but itâs really a pretty simple operation: You need to put every single penny you can spare toward your debts until they disappear.
One method is known as the debt avalanche method, which involves paying off debt with the highest interest rates first, thereby reducing the overall amount youâll shell out for interest.
For example, if you have a $1,500 revolving balance on a credit card with a 20% APR, it gets priority over your $14,000, 5%-interest car loan â even though the second number is so much bigger.
Pro Tip
If youâre motivated by quick wins, the debt snowball method may be a good fit for you. It involves paying off one loan balance at a time, starting with the smallest balance first.
Make a list of your debts and (ideally) donât spend any of your spare money on anything but paying them off until the number after every account reads â$0.â Trust me, the day when you become debt-free will be well worth the effort.
As a bonus, if your credit score could be better, repaying revolving debt will also help you repair it â just in case some of your goals (like buying a home) depend upon your credit report not sucking.
3. Plan for Retirement
All right, youâre all set in case of an emergency and youâre living debt-free.
Congratulations! Weâre almost done with the hard part, I promise.
But thereâs one more very important long-term financial goal you most definitely want to keep in mind: retirement.
Did you know almost half of Americans have absolutely nothing saved so they can one day clock out for the very last time?
And the trouble isnât brand-new: Weâve been bad enough at saving for retirement over the past few decades that millions of todayâs seniors canât afford to retire.
If you ever want to stop working, you need to save up the money youâll use for your living expenses.
And you need to start now, while compound interest is still on your side. The younger you are, the more time you have to watch those pennies grow, but donât fret if you got a late start â hereâs how to save for retirement in your 20s, 30s, 40s and 50s.
If your job offers a 401(k) plan, take advantage of it â especially if your employer will match your contributions! Trust me, the sting of losing a percentage of your paycheck will hurt way less than having to work into your golden years.
Ideally, youâll want to find other ways to save for retirement, too. Look into individual retirement arrangements (IRAs) and figure out how much you need to contribute to meet your retirement goals.
Future you will thank you. Heartily. From a hammock.
FROM THE BUDGETING FORUM
Starting a budget
S
A reminder NOT to spend.
Grocery Shopping – How far away is your usual store?
F
Budgeting 101
See more in Budgeting or ask a money question
4. Set Short-Term and Long-Term Financial Goals (the Fun Part!)
Is everything in order? Amazing!
Youâre in awesome financial shape â and youâve made it to the fun part of this post.
Consider the funds you have left â and those youâll continue to earn â after taking care of all the financial goals above. Now think: What do you want to do with your money?
What experiences or things can your money buy to significantly increase your quality of life and happiness?
You might plan to travel more, take time off work to spend with family or drive the hottest new Porsche.
Maybe you want to have a six-course meal at the finest restaurant in the world or work your way through an extensive list of exotic and expensive wines. (OK, Iâll stop projecting.)
No matter your goals, itâs helpful to categorize them by how long theyâll take to save for.
Make a list of the goals you want to achieve with your money and which category they fall into. Then you can figure out how to prioritize your savings for each objective.
For example, some of my goals have included:
Short-term financial goal: Save spending money for a trip overseas.
Medium-term financial goal: Pay off my car within a year, or sell it â and its onerous loan â and buy an older car I can own free and clear.
Long-term financial goal: Buy a house I can use as a home base and increase my income by renting it out while I travel. This will probably take me through the rest of my 20s.
By writing down my short- and long-term financial goals and approximately how long I expect it will take to achieve each, I can figure out what to research and how aggressively I need to plan for each goal.
It also offers me the opportunity to see what I prioritize â and to revise those priorities if I see fit.
Jamie Cattanach (@jamiecattanach) is a contributor to The Penny Hoarder.
This was originally published on The Penny Hoarder, which helps millions of readers worldwide earn and save money by sharing unique job opportunities, personal stories, freebies and more. The Inc. 5000 ranked The Penny Hoarder as the fastest-growing private media company in the U.S. in 2017.
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When you need a car rental at a Houston airport, go with Avis for a convenient process. Our George Bush Intercontinental Airport (IAH) location allows you to pick up a rental car right after your flight and get on the road timely manner.