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.

The amount the insured must pay for medical services, such as doctors visits, prescription drugs and hospitalization. Usually stated in dollars, i.e., $10 office visit copay; $10 prescription.

A small dollar amount due at the time of service and based on a per-visit or per-occurrence basis. A typical example would be physician visit copay due when visiting his office.

" The set amount you pay for each medical service you get. For example, a managed care plan might charge $10 for a doctor visit.

A percentage of the charges for which you are responsible when receiving covered services.

the amount paid by the patient each time a covered drug is purchased, when the drug cost is more than the deductible. There can be one value for a generic drug, one for a preferred drug, and one for a non-preferred drug. For example, a subsidy eligible individual who has a very low-income will pay no more than $3 to the pharmacy for each brand name prescription filled at the pharmacy, and $1 for each generic drug, regardless of the cost of the drug.

An arrangement which requires a covered person to pay a fixed amount each time a covered service is used. For instance, the enrollee might be required to make a $10 copayment for each office visit or an $8 copayment for each prescription drug.

The dollar amount required from the insured when medical services are used or prescription drugs are purchased. This is similar to coinsurance except with coinsurance the amount is usually a percentage of charges.

The flat fee dollar amount of a charge that a covered person must pay for certain Covered Services.

A cost-sharing arrangement in which a plan member pays a specified charge for a specific service - for example, $10 for an office visit. The member is responsible for payment at the time the service is rendered.

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. Return to of page.

A cost-sharing arrangement in which the Health Plan subscriber pays a specified flat amount for a specific service (such as $10 for an office visit or $5 for each prescription drug). The amount paid must be nominal to avoid becoming a barrier to care.

C ost-sharing arrangement in which a member pays a specified charge at the time for service; for example, $15 for an office visit.

the $1.00 you pay for prescription drugs or other services. It is called a copay because you pay some and Passport Health Plan pays the rest.

A flat rate payment made by the health insurance policy holder for treatment from a health professional. Generally the Copay applies to doctorâ€(tm)s office visits and is a maximum fee the health insurance policy holder must pay per visit. Any general costs incurred above the Copay are covered by the health insurance Carrier. In some instances, the Copay does not cover costs incurred from X-rays or laboratory tests.

see Copayment.

cost-sharing arrangement in which the insured person pays a specified share of the charge for a specified service, such as $10 for an office visit. The covered person is usually responsible for payment at the time the health care is rendered. In some instances, copayments are two-tiered with a smaller payment due when utilizing services within an approved network and a larger payment due for out-of-network.

A specified out-of-pocket dollar amount that a member must pay for a specified service at the time the service is rendered.

The amount you pay as your share of the medical services you receive, like for a doctor's visit. Copayment is a fixed dollar amount (e.g., $15).

A certain portion of the cost of care, which the patient must pay even for care covered by CHAMPUS.

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.

A specific, flat amount that you pay for specific service (such as $10 per visit,etc.) Usually the copay is so small that its not a barrier to getting care.

Fixed dollar amount payments that you pay each time you receive health care services or prescription drugs. Copayments are subject to changes annually, depending on changes made to a plan.

A preset arrangement in a health insurance policy whereby the insured agrees to pay a set dollar amount for medical services that are received, such as prescriptions, and the insurer pays the remainder.

The dollar amount you pay for doctor visits, prescriptions, and emergency room care.

or copayment Healthcare plans sometimes charge a fixed dollar amount each time certain services are received. This amount you pay is called a copayment. As an example, each time you visit the doctor or fill a prescription, they might charge you $10.

A set amount that an insurance sets that is the patient's portion of the office visit (due at the time of service). The copay can change depending on the type of visit. E.g. a standard office visit will require payment of the usual amount, a blood draw or nurse visit may not require a copay, and a surgical procedure may have a higher copay. Conversion Factor: A dollar value to 4 decimal places used as a multiplier by HCFA when calculating reimbursement rates. The CF is updated annually to allow for inflation. Many payors will base their reimbursement rates on a CF slightly different from Medicare's but maintain the other multipliers.

The portion of a provider's or hospital's bill you must pay. The amount can be as simple as an office co-pay of $10.00 or 10 percent of the cost of a procedure.

A predetermined flat fee that the insured pays for healthcare services, in addition to what the insurance covers. Copay is usually not specified in percentage of the total healthcare cost. e.g., you pay $10 for a visit to the doctor's office, no matter how much the doctor's office visit charge is.

Unlike co-insurance, which is based on a percentage of the cost, a copay is a flat fee paid for a specific service, such as $15 for an office visit. This cost-sharing arrangement is typical of an HMO-based plan. (See Health Insurance Basics for Micro-Businesses.)

An arrangement where the insured pays a specified amount for various services and the health carrier pays the remaining charges.