The amount you pay out-of-pocket for each doctor/hospital visit or for a covered medical service. Usually expressed as a dollar amount. For example, the insured person may pay $25 toward the cost of an office visit. See Co-insurance.
Pre-determined fee, in addition to what your health insurance covers, that the insured pays for health care services. An example is a $20 co-payment required by a PPO for a doctor's office visit.
A contractual provision whereby the member is required to pay a specific charge for a specific service, usually at the time the service is rendered. Usually applies to physician office visits, prescriptions, emergency, or hospital services.