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Copayment

   Also found in: Dictionary/thesaurus, Medical, Wikipedia 0.01 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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Individual beneficiaries can expect a copayment of 25 to 50% for institutional care services.
Under the proposed contract, SBC employees would see their copayment for health care rise on average by $420 a year.
Any amount remaining unpaid, such as a deductible, coinsurance, copayment, or uncovered amount, would be paid by the camp's Blanket Excess Accident and Sickness Medical policy up to the limit of the policy.
 
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