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Copayment
(redirected from Co-pay)

   Also found in: Medical, Wikipedia 0.02 sec.

Copayment. If you have a managed-care health insurance plan, your copayment is the fixed amount you pay -- often $10 to $25 -- for each in-network doctor's office visit or approved medical treatment

In some plans, the copayment to see a specialist to whom you're referred is higher than the copayment to visit your primary care physician. Some plans may not require copayments for annual physicals and certain diagnostic tests.

If you see an out-of-network provider, you are likely to be responsible for a percentage of the approved charge, called coinsurance, plus any amount above the approved charge.



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According to the VA, some veterans received phone calls from a man indicating he was from the "VA pharmacy" who asked veterans for their Social Security number and a list of medications because of "new co-pay regulations.
The co-pay for network physicians' visits increased on Jan.
For those with an income below the poverty line (currently $798 per month for a single person, in September 2005), there will be no premiums or deductibles, but there will be a co-pay of $1 for generic meds and $3 for brand-name meds, with no co-pay after total drug expenses reach a certain limit.
 
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