The percentage of the allowed amounts for covered services that Blue Cross and Blue Shield of North Carolina (BCBSNC) will pay after a member meets their deductible. For example, if a member selects a plan that covers 80% of the allowable charge for a specific service, BCBSNC will pay 80% of the allowable charges to the provider and the member will be required to pay provider the remaining 20%. The member would pay the 20% until the coinsurance maximum is reached
Note:
Some services and supplies received by members in an office setting or in connection with an office visit are in fact provided by hospital-owned or operated practices. These services and supplies may be subject to your deductible and coinsurance. Prior to scheduling an appointment, please confirm with your provider whether the practice is hospital-owned or whether any services are hospital-based and may be subject to deductible and coinsurance.