Question 1

What is a copayment in health insurance?

Accepted Answer

A copayment (or copay) is a fixed amount you pay for a covered health care service, usually when you receive the service. For example, you might pay a $30 copay for a doctor's visit or $10 for a prescription medication.

Question 2

What's the difference between a copay and coinsurance?

Accepted Answer

A copay is a fixed dollar amount ($20, $50, etc.), while coinsurance is a percentage of the cost (20%, 30%, etc.). Copays are typically used for routine services like doctor visits, while coinsurance applies after you meet your deductible for larger expenses like hospital stays.

Question 3

Do copays count toward my deductible?

Accepted Answer

Usually no. Copays typically don't count toward your deductible, but they do count toward your out-of-pocket maximum. However, plan rules vary, so check your specific policy documents or contact your insurer to confirm.

Copayment

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