iznos ličnog/osobnog udjela


Deductible (Iznos ličnog učešća) je izraz koji se koristi kada osobe imaju pravo na pokriće osiguranjem Medicaid-a, čak i kada im je uračunati dohodak veći nego što je uobičajeno za Medicaid-ov standardni dohodak. U tom postupku, medicinski troškovi koje je osoba napravila tokom meseca oduzimaju se od dohotka te osobe za taj mesec. Onda kada se dohodak tog pojedinca smanji na određeni nivo predviđen od strane države, ta osoba onda ima pravo na beneficije Medicaid-a do kraja tog meseca.
www.network180.org/attachments/041_GTS-07_Inside-BOS.pdf

Na donjem linku je dat primjer:

Deductible - The amount of money you will pay before any health insurance benefits are paid. This amount is called the deductible. Deductibles vary but generally are in the amount of $250 to $1,500. Some health insurance policies today are offering deductibles as high as $5,000. Usually the higher the deductible the lower the premium (see below for definition of “premium”).

Co-Pay - The amount of money you will pay out of your pocket each time you seek medical service, and almost every health insurance plan includes a co-pay system. For many insurance plans, each time you see a doctor or purchase a prescription drug, you will pay between $20 and $50 before your health insurance will pay any part of the cost – this is the co-pay. You’ll also be charged a co-pay for outpatient x-rays and surgeries and these are often more expensive than a doctor’s visit or prescription. Generally, co-pays are not credited to your deductible or co-insurance (see definitions below).
http://www.healthcentral.com/alzheimers/insurance-help-3231-...