co-pays

Insurance cost sharing

Co-pays are fixed amounts a patient pays out of pocket for medical services, with insurance covering the rest.

The amount varies by service type: The co-pay for a specialist visit is higher than for primary care.

Co-pays help share costs between insurer and patient while keeping healthcare accessible.

Also spelled copays.

payment

deductible

Out-of-pocket threshold amount

fee · cost-sharing · expense · billing · charge · reimbursement · balance · invoice · statement · amount

healthcare

visit

Trip to see another

pharmacy · consultation · referral · clinic · doctor · physician · outpatient · checkup · therapy · generic

insurance

coverage

Extent of inclusion

  • policyAdopted principle of action
  • planDetailed proposal for achieving
  • HMONetwork-based insurance plan

PPO · network · in-network · out-of-network · benefits · insurer · carrier · claims · provider · enrollment

financial-burden

affordability

State of being purchasable

hardship · accumulator · maximizer · cap · limit · rationing · underinsured · subsidy · discount

Categories
Opposites
cost-sharing structure

co-paysfull coverage

Protection without exclusions

subsidized care · capitation

coverage completeness

co-paysfull coverage

Protection without exclusions

comprehensive coverage · free healthcare · universal healthcare · universal coverage · single-payer

Family

copay, copays

Familiarity
Top 200,000
Profile
Mostly American · Timeless · Negative · Rated G