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Notice: During the government shutdown, continue using your 2025 health insurance plan and providers. Use this site to apply for and enroll in 2026 coverage during Marketplace Open Enrollment.

Copayment

A fixed amount ($20, for example) you pay for a covered health care service after you've paid your deductible.
Let's say your health insurance plan's
for a doctor's office visit is $100. Your copayment for a doctor visit is $20.
  • If you've paid your
    : You pay $20, usually at the time of the visit.
  • If you haven't met your deductible: You pay $100, the full allowable amount for the visit.
Copayments (sometimes called "copays") can vary for different services within the same plan, like drugs, lab tests, and visits to specialists.
Generally plans with lower monthly
have higher copayments. Plans with higher monthly premiums usually have lower copayments.
  • Learn how deductibles and copayments affect your total costs of care