A flat, set amount-for example, $5 or $10 - must be paid at the time of service for certain medical services. This is the patient's out-of-pocket expense for health care treatment.

a specified amount to a specific covered service for which the member is responsible (such as a $10 or $15 copayment per office visit).

The amount of money you must pay out of your own pocket for each doctor visit or for each prescription refill, for example.

The fixed fee that must be paid to the provider at the time services are provided, such as the pharmacist for a prescription. (RX).

A static out-of-pocket amount charged to the insured for certain services.

The fixed amount paid each time you receive certain health care services. For example, $20 for a doctor's office visit. The health plan pays a negotiated amount to the provider for those services.

beneficiaryâ€(tm)s share of the dentistâ€(tm)s fee after the benefit plan has paid.

A cost sharing arrangement in which a person pays a specific charge for a specific medical service -- say $10 for an office visit or $5 for a prescription.----------[ Back

In health insurance, this is the percentage the insured pays toward the cost of covered services or a flat fee charged by an HMO or other managed care plan for certain services, such as doctors' office visits, hospital stays or prescription drugs.

A fixed payment that must be paid out-of-pocket by a patient upon receiving health care services. In some HMOs, for instance, you pay a $10 copayment for a physician visit, or a $5 copayment for a prescription.

that portion of a claim or medical expense that member must pay out of pocket. Usually a fixed amount, such as $10 in many HMOs.

the amount payable by the Member each time the Member receives a Covered Service, subject to a copayment as shown on the Schedule of Benefits. There may be separate copayments for different services. Some plans require that a deductible first be met for some specific services before a copayment applies.

Payment made at the point of service, sometimes in addition to deductibles and coinsurance.

the set amount that you will pay when you access covered services.

A small fee you pay for each doctor's office visit, medical service or prescription. For example, your health plan may have a $10 copayment for doctor's office visits. This means every time you visited your doctor, you would pay just $10.

A cost-sharing requirement under a health insurance policy that requires the patient to pay a specified dollar amount for each unit of service (e.g., $10.00 for each prescription dispensed).

Copayments are part of a health care cost sharing arrangement in which a plan member pays a specified charge for a service, such as $10 for an office visit. The member is usually responsible for payment at the time the service is rendered.

" 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 fee you pay to a provider at the time you receive care.

The flat amount you pay to a health care provider or pharmacy at the time of service. Copayments vary depending on your plan and the services you receive. Copayments do not reduce your annual deductible or out-of-pocket maximums.

The amount paid by a patient for care by a hospital, doctor, or other provider when an insurer pays the remaining portion.

A fixed dollar amount charged to members for covered services such as office visits, hospital stays or prescriptions, usually paid to the provider at the time service is rendered.

a fixed amount of money you pay to a provider when you receive services

a fixed amount of money you pay to the provider, facility, pharmacy, etc

a fixed amount or a percentage of the approved amount a cardholder must pay for a covered service

a fixed amount you are required to pay for each medical service you receive, such as a doctor visit, so no matter what the cost of the service is, you pay the same amount

a fixed charge for a medical service

a fixed dollar amount or a percentage that you pay for each doctor visit/service

a fixed dollar amount , or fee, that you pay as your cost share for a particular covered medical service, such as a doctor's visit, hospital stay or prescription drug

a fixed-dollar amount paid by a beneficiary for a prescription drug

a fixed dollar amount paid whenever an insured person receives specified health-care services

a fixed dollar amount that the insured person is required to pay when a medical service is received

a fixed dollar amount to be paid out-of-pocket by the plan member each time he or she receives a specific service such as an office visit or prescription medication

a fixed payment that must be paid out-of-pocket by the member upon receiving health care services

a predetermined amount, which you pay when you have a prescription filled

a smaller amount of money that is paid each time a particular service is used

a specific dollar amount you must pay to the provider at the time you receive covered services

A provision in insurance policies that requires the insured to pay a flat fee for certain medical expenses.

A fixed amount, paid at the time services are rendered, that a member of a health plan pays when seeing a participating provider for services.

A fixed dollar amount for specified services specified in the member's benefit plan and incurred after any deductible has been satisfied. Copayments are due and payable at the time services are rendered. Contact Customer Service to verify the member's copayment amount.

Amount(s) paid to a health care provider at the time service is rendered.

A specified dollar amount of eligible expenses which the member is required to pay for a specific covered service and which will be deducted from the provider's reasonable charge before the determination of benefits payable under the program is made.

A copayment is usually a specified flat amount you pay for a service (e.g., $10 per visit, $25 per inpatient hospital day), with the insurer paying the balance. Also referred to as coinsurance.

The amount of health care provider costs that the patient is responsible for, usually a set amount, such as $10 per office visit. The patient is usually responsible for payment at the time the health care service is provided.

A cost-sharing arrangement in which the insured pays a specified charge, such as $25 for an office visit, for a specified service. The insured is usually responsible for payment at the time of service. This charge may be in addition to certain coinsurance and deductible payments. See Doctor Office Copayment Option.

A predetermined (flat) fee that an individual pays for health care services, in addition to what the insurance covers, for example, a $20 office visit copay.

Usually a fixed-dollar amount an insured is required to pay to receive services, i.e., $10 for a doctor's visit, $15 for a prescription.

A fixed dollar amount that is paid by the patient or covered individual at the time medical services are rendered, typically for physician office visits, prescriptions, or hospital services.

A fixed payment the patient pays (often between $5 to $25) each time he or she visits a health plan physician or clinician or receives a covered service.

A specified dollar amount that a patient must pay the health care provider for every office visit or medical encounter. It is usually a flat fee, such as $10 or $20 that the patient pays out of pocket, beyond any applicable deductible, for each encounter. (Copayments usually range between $5 and $25.)

The parent's portion of child care costs.

In this type of health insurance plan the insured individual has to pay a fixed amount of money very time a medical service is received. The insurance company will have to pay leftover amount, if any.

A fee charged to the member to offset administrative costs. The member pays a specified fee and the insurer pays the rest of the cost.

A flat amount the insurer may require the patient to pay for a specific service at the time the patient receives it. For example, the plan may require the patient to make a $25 copayment whenever visiting the doctor. The copayment amount varies, depending on the patient's insurance plan.

A flat fee for specified medical services required by some insurers. For example, you pay a $10 copayment for a doctor visit or a $50 copayment for a hospital stay.

Typically a set amount per type of service paid by the insured, after which the insurer pays the balance of the cost (Example: $30 office copay).

A pre-determined charge you pay for each health care visit or service you use, usually collected at the time you get the service.

The amount a customer is asked to pay towards the DSM measure as a condition of receiving a utility incentive.

A set dollar amount the member pays for certain covered drugs.

The amount you pay for services. After your copay, the plan pays 100% of the remaining cost (there is no deductible).

The amount you're required to pay directly to the provider each time you use medical services (for example, you pay a small co-payment each time you visit a doctor's office).

A flat amount a member is required to pay for a particular service on some plans. For example, a member may be required to pay $20 each time he or she visits a physician or other health-care provider.

A specific charge that you pay for a specific medical service. For example, you may pay $20 for an office visit or $5 for a prescription and the health plan covers the rest of the charge.

The amount (usually stated as a dollar amount; e.g., $5 or $10) that an insured person must pay out of pocket for a medical service (e.g., doctor's office visit) or prescription drug.

A method of cost sharing that requires members to pay a set amount for a specific service, such as $15 for any prescription.

A type of cost sharing that requires the insured or subscriber to pay a specified flat dollar amount for the provided services. It is usually on a per unit of service basis, with the third-party payer reimbursing some portion of the remaining charges.

A cost-sharing arrangement in which the enrollee pays a fixed amount for a specific service, such as $15 for a prescription drug. Also called a copay.

(see also Coinsurance, Cost Sharing, Deductible): A cost-sharing arrangement whereby a beneficiary is responsible for paying a fixed fee per unit of treatment service (e.g., $5 per visit, $20 per inpatient day) that does not vary with the provider's charge. Copayments are designed to reduce the third-party payer's costs and decrease service utilization.

A nominal fee paid by the subscriber for each office visit or pharmacy prescription filled.

A nominal fee charged to HMO members to offset costs of paperwork and administration for each office visit or pharmacy prescription filled.

The flat dollar amount that an insured has to pay under the terms of some health care plans regardless of the actual charges for the care given.  Thus an insured may be obligated to pay $10 for each visit to a physician, the health care plan being responsible for the difference between the actual cost of the visit and the copayment by the patient.  (Related: Coinsurance and Deductible)

A cost-sharing arrangement under which the insurance company insures only part of the potential loss, and the policy owners pay the other part.

means the amount, expressed as a fixed-dollar figure required to be paid by a Member in connection with health care services. Benefits payable by the Plan are reduced by the amount of the required copayment for the covered service.

a flat-dollar amount (instead of a percentage of the total cost) that you pay for a prescription or medical service, usually paid directly to the provider at the same time you receive service.

A provision in insurance policies that requires the participant to pay a flat fee for certain medical services.

A type of cost sharing where the insured party is responsible for paying a fixed dollar amount per covered service. For example, an HMO could require a $10 copayment for every visit to a network physician.

After the plan pays a percentage of the reasonable and customary fee for dental services, the remaining cost is your copayment. For example, if the plan pays 80% of a basic or major service, the remaining 20% is your copayment. Keep in mind, the actual charges may be greater than what the insurance company defines as a reasonable and customary charge. If so, you are responsible for payment of any amounts over the reasonable and customary limits.

The dollar amount some Medicare beneficiaries are required to pay for each medical service, such as a doctor's visit.

A fixed dollar amount paid by a Medicaid beneficiary at the time of receiving a covered service from a participating provider. Copayments, like other forms of beneficiary cost-sharing (e.g., deductibles, coinsurance), may be imposed by state Medicaid programs only upon certain groups of beneficiaries, only with respect to certain services, and only in nominal amounts as specified in federal regulation.

The amount charged to the eligible person by the pharmacy for each prescription order or authorized refill. For the Employee Prescription Drug Plan the copayment is $1.00 for a generic drug and $5.00 for all brand name drugs regardless of substitute availability. These copayments are also applicable to the mail order portion of the plan.

the minimum fixed-dollar amount that you are required to pay for a prescription (if any) in addition to your coinsurance.

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.

The amount paid by a patient to the provider when using a medical service.

The amount you must pay out of your own pocket when you receive medical care or a prescription drug. Copayments usually refer to set fees that HMOs charge to access health care services, but they also may apply to a PPO insurance contract.()

A set dollar amount that members must pay at the time of service to a provider for certain covered services.

A co-payment (or co-pay) is a type of cost sharing whereby the insured person typically pays a specified flat amount per unit of service or unit of time (e.g., $10 per visit, $25 per inpatient hospital stay, or $75 per emergency room visit) with the insurance paying the balance.

A specified amount the insured must pay at the time services are rendered. This may not be used as part of the deductible; and does not accumulate toward the maximum out-of-pocket.

Copayments are predetermined fees for provider office visits, prescriptions or hospital services payable by the member.

A set amount you are required to pay for each medical service you receive, such as a visit you make to a health care provider. It usually ranges from $5 to $25.

The amount that you pay for each medical service you get, like a doctor visit. Copayment is usually a fixed dollar amount you pay for a service; a coinsurance is a percentage of the cost of the service.

A predetermined amount of money an insured must pay for certain services and for prescription drugs. Amounts often range from $5 to $25. Most managed care plans require copayments.

A cost-sharing arrangement in which a covered person pays a specified charge for a specified service, such as $10 for an office visit. The covered person usually is responsible for payment at the time the health care is rendered. Typical copayments are fixed or variable flat amounts for physician office visits, prescriptions or hospital services. Some companies use the term “copayment” to refer generically to both a flat dollar copayment and coinsurance.

The portion of a claim or medical expense that a member must pay out of their own pocket to a provider or a facility for each service. It is usually a fixed amount that is paid at the time service is rendered.

The amount you pay for each medical service, like a doctor visit. A copayment is usually a set amount you pay for a service. For example, this could be $5.00 or $10.00 for a doctor visit. Copayments are also used for some hospital outpatient services.

A flat amount you must pay for services (for example, $10 per office visit).

the predetermined portion of the bill for medical services or supplies that must be paid by the patient. Copayments are flat amounts in comparison to coinsurance which is a percentage. This is a cost-sharing arrangements in which the patient is usually responsible for payment at the time the care is rendered. Typical copayments are fixed or variable flat amounts for physician office visits, prescriptions or hospital services. See Coinsurance and Encounter Fee.

a flat dollar amount that a participant pays for a certain medical service (such as an office visit) as the participant's share of the cost. Copayments may apply in addition to deductibles and coinsurance.

is a cost-sharing arrangement in which a consumer pays a specified charge for a specified service (e.g., $10 for an office visit).  The consumer is usually responsible for payment at the time the service is rendered. 16

Depending on the kind of insurance you have, you may have to pay something each time you visit a doctor or get a prescription filled. The amount you have to pay is your copayment. Your health insurance pays the rest. For example, you might pay $15 for each prescription that you have filled, or you may have to pay $10 each time you visit the doctor.

a cost-sharing arrangement in which an insured pays a specified charge for a specified service, such as $25 for an office visit. The insured is usually responsible for payment at the time the service is rendered. This charge may be in addition to certain coinsurance and deductible payments.

The dollar amount of a charge that a covered person must pay for certain covered services.

A fixed dollar amount you are required to pay for covered services at the time you receive care.

In some Medicare health plans, this is the amount a Medicare beneficiary must pay for each medical service s/he gets, like a doctor visit. In the Medicare program, a copayment is usually a set amount a beneficiary pays for a service, for example, $5 or $10 for a doctor visit.

A specified sum of money a member is required to pay in connection with receiving certain services.

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

The portion of the charge for a prescription that must be paid to the Pharmacy by the Covered Person at the time the prescription is dispensed.

A type of cost-sharing whereby insured or covered persons pay a specified flat amount per unit of service or unit of time, with the insurer paying the rest. The copayment is incurred at the time the service is used. The amount paid does not vary with the cost of the service. Generally included in managed care plans.

the member’s treatment cost which is paid directly to the dentist at the time of service

In some Medicare health and prescription drug plans, the amount you pay for each medical service, like a doctor's visit, or prescription. A copayment is usually a set amount you pay. For example, this could be $10 or $20 for a doctor's visit or prescription. Copayments are also used for some hospital outpatient services in the Original Medicare Plan.

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 fixed dollar amount you pay as your share of a service or benefit (sometimes called a copay).

A specified dollar amount which a member must pay for each medical visit.

The amount you pay as your share for the medical services you receive, such as a doctor’s visit. A copayment is a fixed dollar amount (you pay $15, for example).

The amount or percentage of the total approved amount that the subscriber is obligated to pay. (Not to be confused with deductible.)

A fixed amount or percentage of the Blues approved amount that the member must pay the provider for a covered service. See also coinsurance.

Member pays an established fixed dollar amount for each prescription. The copayment may vary according to the characteristics of the drug dispensed. Example: $10 brand/$6 generic copayments.

Your share of the cost of a given service. It may be a percentage of the dentist's approved fee or a fixed dollar amount.

A sum of money that is paid by the insured. It is usually a flat dollar amount such as $10 per visit. The theory is that if the insured has to pay part of each claim, they will be more judicious in their use of their health insurance.

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

A specified amount the covered person must pay at the time services are rendered for certain covered services, which may not be used as part of the deductible. All services received during a provider office visit (on the same site) are covered by the payment of a single copayment.

A fixed amount that the patient pays each time he or she receives a covered service. Depending on the patient's plan, they may pay a copayment for a visit to the doctor, to a specialist, to the ER, or even when they receive high-level radiology tests such as CT scans.

A required amount of payment for services that the client must make. Copayments apply to medical and child care services Different copayment amounts may be set for each medical procedure and patient type. Child care copayments are based on gross annual income, number in the home, and number needing child care.

Percentage of the costs of medical or other treatment that is not paid by the insurer, and therefore must be paid by the insured party (usually after the insured party pays the deductible amount).

The predetermined amount you pay toward each prescription.

The out-of-pocket expenses to the patient (employee) for health care. May be a percentage or a flat dollar amount.

a type of cost sharing where the insured (patient) pays a small fixed payment determined by the insurance company at the time of services rendered (e.g., $10 per office visit, or $25 per inpatient hospital day). The insurance company pays the rest of the cost. The amount paid by the patient does not vary with the cost of the service.

The amount a beneficiary pays each time a service is received.

The fixed amount a Member pays per visit to a Provider for In-Network health care services. The co-payment may vary per group and per service.

The amount of payment that is the patient's responsibility to pay.

The upfront amount that you pay each time you receive health care services. When you visit your health care provider, you pay the copayment to the provider, and the plan covers the remaining expenses.

A set amount an individual must pay upon receiving medical services. For example, you may have to pay $10 each time you visit the doctor.

The consumer's share of the child care cost. Working Connections Child Care copayments are made directly to the consumer's child care provider.

In some plans, you pay a small set amount (ex. $10, $15, $20) for prescriptions, doctor's visits, or other services, regardless of the service's total cost.

means the amounts shown on Schedule A which an Enrollee pays directly to a Dentist for Benefits.

Another way of sharing medical costs. You pay a flat fee every time you receive a medical service (for example, $5 for every visit to the doctor). The insurance company pays the rest.

That portion, usually a fixed amount, of a claim or medical expense that the member or covered insured must pay out-of-pocket.

An amount of money that the member or insured pays directly to a provider at the time services are rendered. Copayment is a flat sum such as $5/prescription or office visit. Coinsurance is a percentage.

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

What the participant pays at the time of service. Copayments are predetermined fees for physician office visits, prescriptions or hospital services.

in a contract with a health plan, the portion of covered medical costs that the patient pays. In a typical plan, the patient's copayment may be based on a percentage or a flat rate.

What you pay at the time of service. Copayments are predetermined fees for physician office visits, prescriptions or hospital services.

A charge required under a Plan that must be paid by a Member at the time of the provision of Covered Services.

Co-payment is a predetermined fee that an individual pays for health care services, in addition to what the insurance covers. For example, some HMOs require a $10 "co-payment" for each office visit, regardless of the type or level of services provided during the visit. Co-payments are not usually specified by percentages.

The amount of charges you pay to your provider for having covered health care services in addition to any deductible.

The amount a person is responsible for paying toward the cost of his or her dental treatment after the insurance company has paid the predetermined percentage of the total treatment. Many dental insurance plans have a copayment policy.

In some Medicare Advantage and other health plans, this is the set amount you pay for each medical service, such as a doctor's visit. For example, this could be $10 or $20 for a doctor's visit. Copayments are also used for some hospital outpatient services in the Original Medicare plan.

Partial payment of certain medical costs that individual participants may be required to make under a health insurance policy. For example, under your employer's health plan, you might have to pay $10 toward each prescription.

A fee to patients-usually $5 to $15-for doctors visits or medical services.

Fixed amount or a percentage of the fee paid by a member each time a service is received.

(1) For medical expense insurance plans, a portion of an insured's medical costs that must be paid by the insured as a condition of the insurer paying the remaining portion. (2) For health maintenance organizations (HMOs), a fee imposed on HMO subscribers each time they receive specified medical services.

A charge you pay for a specific medical service. For example, you may pay $10 for an office visit or $15 for a prescription and your health plan pays the remainder of the medical charges.

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)

A copayment, or copay, is a flat dollar amount paid for a medical service by an insured person. Insurance companies use copayments to share health care costs to prevent moral hazard. Though the co-pay is often only a small portion of the actual cost of the medical service, it is thought to prevent people from seeking medical care that may not be necessary (eg: an infection by the common cold), which can result in substantial savings for insurance companies.