![]() Once you’ve met your deductible, you will only pay copayments and coinsurance amounts for your healthcare. ![]() To break things down further, your deductible is the amount you must first pay out-of-pocket for your healthcare before your health insurance policy begins to pay for some or all of your care. Some plans may allow you to pay a copay for some healthcare services even before meeting your deductible. There are also separate copay amounts for emergency room care, urgent care, and other services ranging from speech therapy to physical therapy.īe sure to check the details of your specific health plan, though. How does a copay work?įor most insurance plans, there is one copay amount for your primary care physician, and then another for any specialists. Check the summary of benefits for your specific plan to understand when you’ll be paying copays and in what amounts. Likewise, you’ll usually find one set of copay rates for name-brand prescription drugs, and another for generic drugs. You will typically encounter one copay rate for primary care and another for specialists. The most common place you might find copays are primary care doctor visits or paying for prescriptions. You’ll encounter copays for a variety of different services, from primary care to emergency transportation. Sometimes, copays are not available until after you’ve met your annual deductible. What is a copayment in health insurance?ĭon’t let the complicated word throw you ! Most simply, a copayment (copay) is a fixed amount you pay for healthcare services. Here’s what you need to know about these fixed dollar amount payments you’ll make for your healthcare. That is, until you break it down and understand the way that copays work within the health insurance system. What is a copayment, when is it due, and what does it cover? It can seem overwhelming.
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