What is co-insurance and which coverage items have co-insurance?

  • Updated

Co-insurance means that the insured person shares a portion of the costs for certain covered services on a percentage basis.

"Co-insurance" - Calculated based on individual protection items and percentages, shared between the insured and the insurance company.

Assume the insured must bear 20% co-insurance for a claim item, with medical costs of $120,000:
Compensation provided by the insurance company = $120,000 X 80% = $96,000
Costs paid by the insured = $120,000 X 20% = $24,000

Bowtie VHIS includes co-insurance for the following plans:

Bowtie VHIS Standard

  • Prescribed diagnostic imaging tests including CT, MRI, and PET scans: 30% co-insurance

Bowtie VHIS Flexi

  • Prescribed diagnostic imaging tests including CT, MRI, and PET scans: 30% co-insurance
    Supplementary Major Medical (SMM): 20% co-insurance

Bowtie Pink

  • Does not have co-insurance items