Coinsurance comes into play after the patient has met their deductible, which is the amount they must pay out-of-pocket before the insurance starts to cover costs. Once the deductible is met, the insurance company will cover a specified percentage of the remaining costs, and the patient will cover the rest. For instance, if a nursing service costs $1,000 and the patient has already met their deductible, with a 20% coinsurance rate, the patient would pay $200, and the insurance would cover $800.