| Number | What belongs here | What it cannot tell you |
|---|---|---|
| Annual policy price | Premium, selected options and disclosed payment charges. | Whether a particular condition will qualify. |
| Your retained claim cost | Deductible, percentage share, excluded services and amounts beyond benefits. | How much the hospital asks for on arrival. |
| Immediately available care money | Deposits and bills due before an insurer settles a claim. | The eventual net cost after an approved reimbursement. |
For a fictional offer of $44 monthly with no additional charges, the annual premium is $528. That is the price of maintaining the example policy, even if there are no claims. Do not add the annual benefit limit as a cost or subtract an imagined claim payment from this price.
For a separate fictional $2,500 entirely eligible bill, suppose the contract first subtracts a $500 deductible and then reimburses 80% of the remainder. The payment would be $1,600 and your retained medical cost $900. It also does not mean only $900 is due to the clinic.