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Copayment
(redirected from copay)

   Also found in: Dictionary/thesaurus, Medical, Acronyms, Wikipedia 0.04 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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2007 2008 2009 Auditing health plan enrollment 42% 54% 61% and eligibility Offering electronic personal health records 24% 37% 40% Offering health coach 44% 47% 56% Offering disease management programs 77% 79% 87% NOT AS POPULAR: Increasing employee copay 20% 15% 16% Source: Watson Wyatt
This of course, makes it virtually impossible to accurately collect a copay at the time of service.
Let's take a look at the office copay for Tonik health insurance plans Tonik was designed to give people access to coverage for the things they use most and keep cost down
 
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