How it works
Claims are processed in date order, the way your insurer does it. On a claim that goes toward the deductible, you pay the plan's allowed amount until the deductible is met, then your coinsurance share of the rest. A copay counts toward the out-of-pocket maximum but not the deductible, preventive care is free, and once you reach the out-of-pocket maximum you owe nothing more for covered care. In the example, seven claims with $12,900 allowed on a $3,000 deductible, 20% coinsurance plan come to $4,932 you should owe. The lab bill asks for $310 when $62 is due, because it was billed at the full allowed amount after the deductible was already met. The spreadsheet tracks up to 200 claims for the year and which ones you have paid.