Definition
Preventive care (screenings, immunizations, wellness visits) is covered at 100% with no cost-sharing under the ACA. Diagnostic care (evaluating a known symptom or condition) involves normal cost-sharing. A screening colonoscopy is preventive; a colonoscopy ordered because of symptoms is diagnostic.
Related Terms
- Deductible
The amount you must pay out of pocket for covered healthcare services before you...
- Copay
A fixed amount you pay for a covered healthcare service after you have met your ...
- Coinsurance
Your share of the costs of a covered healthcare service, calculated as a percent...
- Out-of-Pocket Maximum
The most you have to pay for covered services in a plan year. After you spend th...
- Premium
The amount you pay each month for your health insurance coverage, regardless of ...
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