Free medical care in this case means that an individual with health insurance would NOT need to pay the additional out-of-pocket costs associated with a procedure or test. This out of pocket component is comprised of the deductible, copay, and coinsurance. Currently, if you have insurance and get a $5,000 procedure, you have to pay several thousand after the fact. CareLedger rewards the individual for going to a high quality, cost effective doctor and facility -- in this case free care.