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[Health Insurance] 6, Cost Sharing Basics
Insurance Exam Prep · Ran Chen, EA, CFP®
April 2, 20263m 28s
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Show Notes
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams.
In this episode you will learn:
- The difference between a per-cause and a calendar-year deductible and how it impacts out-of-pocket costs.
- How individual and family deductibles, including embedded deductibles, are applied on the exam.
- The function of a fixed-dollar copayment and its relationship to the deductible.
- How to calculate the insured's responsibility using a percentage-based coinsurance provision after the deductible is met.
- The correct order of applying deductibles and coinsurance to determine the total out-of-pocket expense in a claims scenario.
For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep