This is NOT coinsurance A co-pay is usually used on a Doctor PPO where you pay the first $10 00 or $20 00 for a Doctor visit and the insurance company pays the rest The amount that you Co-pay for a doctors visit does NOT reduce your deductible or coinsurance Co-pays are also used with Prescription Drug cards
The amount a beneficiary must pay for covered inpatient and outpatient services (other than the deductible, the annual TRICARE Prime enrollment fee, or disallowed amount)
These are most typical and prevalent within the US health insurance system under plan designs known as HMO's (Health Maintenance Organizations), but they might also be present for some medical services covered under "Indemnity" or "PPO" plan designs "Co-pay" is the flat amount, usually a nominal financial figure such as $10 to $25, an insured member pays for a covered service Depending upon the plan design, the "Co-pay" may be applied before or after you satisfy the "Annual Deductible", if any Typically, co-payments are applied in lieu of the "Annual Deductible", but it might vary depending upon the given medical treatment facility or plan design Also, some plans impose a "Co-pay" surcharge as a penalty for failure to comply with some provision of the plan, such as not utilizing a "Network/in-network" hospital
A specified dollar amount of a covered services that is the patient's responsibility
The portion of a bill that the insured pays, usually at the time of service Often expressed as a set fee for a specific service
The amount of covered expense that must be paid up front by the employee for each treatment or visit before benefit payment begins for each treatment or visit
The flat amount or percentage you pay for a covered service after you satisfy the annual deductible, if any Please note many plans offer co-pays that are separate of the deductible In other words, it may cost you $30 to visit the physician and an additional 30% of a service such as a blood test Co-Pay plans were introduced to California plan designs about 15 years ago in response to consumer responses Office visit co-pays are clearly spelled out in a plan design Some insurance companies have re-designed their plans to include a percentage co-pay rather than a fixed amount
Flat fees or payments (often $5-10) that a patient pays for each doctor visit or prescription
Arrangement where covered person pays a specified amount for specified services and health care provider pays remainder Covered person usually pays his or her share when service is rendered Unlike coinsurance which is a percentage, co-payment is a dollar amount
Is the "out of pocket cost" paid by the member that helps defer the cost of prescription drugs If a copayment applies to a member, he/she will pay a percentage of the drug cost to the pharmacist The copay amount is determined by the member's health plan and is administered at the benefit level
This is an arrangement where the covered person pays a specified amount for various services and the health care provider pays the remainder The covered person usually must pay his or her share when the service is rendered Similar to coinsurance, except that coinsurance is usually a percentage of certain charges where the co-payment is a dollar amount (H)
The copay or copayment is the amount that the insured member must pay for a prescription The copay amount may be different for a brand drug versus a generic drug
{f} pay a fee upon receipt of medical care or medications (in an HMO insurance plan); match payment made by an employer toward an employee's expenses for health care (or insurance, pension plan, etc.)
An arrangement where the insured pays a specified amount for various services and the health carrier pays the remaining charges (i e $15 dollar copay per physician office visit)
The partial payment required to obtain health care services in addition to the insurance premium paid; for example, for a visit to a doctor or for a prescription drug
A predetermined fee an insured pays for each doctor's office visit, medical service or prescription For example, a health plan may have a $10 copay for doctor's office visits This means every time an insured visits a doctor, he or she would pay just $10 The amount of copay depends on the type of service or supply See your contract/certificate for specific copay information