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What constitutes “cost-sharing”?

What constitutes “cost-sharing”?

Cost-sharing, for this purpose, means the share of costs not covered by insurance that a patient would pay out of pocket. This term generally includes deductibles, coinsurance, and copayments, or similar charges, but does not include premiums, balance billing amounts for non-network providers, or the cost of non-covered services. See, e.g., Cost Sharing.

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