A medication sold under the company's brand name. Brand-name drugs are often more expensive than their generic equivalents, even though they have the same active ingredients. Your insurance plan may cover brand-name drugs or require you to pay more through coinsurance or a copay.
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A type of health insurance plan that covers about 60% of your health care costs. The plan pays for 60% and you pay about 40%. Bronze plans have lower monthly premiums than higher metal tier plans, but higher out-of-pocket costs when you use care.
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The 12-month period during which your insurance coverage is in effect and when your deductible, out-of-pocket limits, and other annual benefits reset. For most people with Marketplace coverage, the benefit year runs from January 1 to December 31.
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When your doctor charges you more than your insurance company agrees to pay. For example, your doctor charges $500, but your plan's allowed amount is $300—the doctor bills you for the $200 difference. In-network doctors usually cannot balance bill you. The No Surprises Act limits balance billing for emergency care.
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