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What is a Co-Payment?

April 26, 2017co-payment payment

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What is a Co-Payment?

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A co-payment is a set fee the member pays to providers at the time services are provided. Co-pays are applied to emergency room visits, hospital admissions, office visits, etc. The cost is usually minimal. The patient should be aware of co-payment amounts prior to services being rendered.

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A “co-payment” or “co-pay” is a specific charge that your health insurance plan may require that you pay for a specific medical service or supply. For example, your health insurance plan may require a $15 co-payment for an office visit or brand-name prescription drug, after which the insurance company often pays the remainder of the charges.

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A. A co-payment is the payment listed on the benefit schedule next to each procedure. The co-payment is the patient’s fee for the procedure and is made directly to the dentist at the time services are rendered.

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