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
allowable cost
for a doctor's office visit is $100. Your copayment for a doctor visit is $20.
  • If you've paid your
    deductible
    : 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
premiums
have higher copayments. Plans with higher monthly premiums usually have lower copayments.

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