Sometimes the insurance "lingo" can be confusing.
Normally - deductible refers to the amount you pay before the insurance begins paying. Just as with your car - you may pay the first $500 or whatever - then the insurance kicks in. It is possible that you have a co-pay to see the doctor or for drugs but there is a deductible for hospital, tests, etc.
Co-pay is the amount you pay to see the doctor - or for a prescription. The insurance pays the balance. Often the insurer has negoitated a rate less than that someone would pay who does not have insurance.
Co-insurance is the amount you contribute toward the cost of the insurance. Often it is 25/75 or perhaps 100% employee coverage paid by the employer and the employee pays for any dependent coverage.
These are the terms as they are used in private insurance - probably the same for Medicare.
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