Copayment definition

Copayment means that you pay a fixed amount each time you fill a prescription.

Copayment means a specific dollar amount that a patient must pay for certain services before the Fund will be financially liable for covered expenses.

Copayment means the fixed dollar amount, established solely by AvMed, that a Member must pay once any applicable Deductible has been met, for certain Covered Services rendered by a Health Care Provider at the time the Covered Services are received. The Copayment is a portion of the Allowed Amount for the Covered Service, or a portion of the Maximum Medicare Allowable or Average Wholesale Price, for the Covered Service.

Examples of Copayment in a sentence

• The nonparticipating provider can bill the Member for the difference between payment by Blue Cross and Blue Shield and provider charges plus Deductible, Copayment and/or Coinsurance.

• The Member will be responsible for the balance of the nonparticipating provider's charges after payment by Blue Cross and Blue Shield and payment of any Deductible, Copayment and/or Coinsurance.

• Each prescription or refill is subject to the Copayment shown in the SCHEDULE OF COPAYMENTS AND BENEFIT LIMITS and any applicable pricing differences.

• If the waiver is granted, applicable Copayment and/or Coinsurance will still apply.

• To use a mail-order Pharmacy, the Member must send an order form with the prescription to the address listed on the mail- order service form and pay any required Deductible, Copayment and/or Coinsurance.

More Definitions of Copayment

Copayment or “Copay” shall mean a dollar amount the Participant pays for health care expenses. In most plans, the Participant pays this after he or she meets his or her Deductible limit.

Copayment means an amount an enrollee must pay in order to receive a specific service which is not fully prepaid.

Copayment means a dollar amount fixed as either a percentage or a specific dollar amount per prescription payable to the pharmacy at the time of service. Copayments are specifically stated in this section. Copayments are not payable by the Plan and do not serve to satisfy the Medical Benefits Deductible. However, Pharmacy Copayments do apply towards the combined Out-of-Pocket Maximum for Medical Benefits and Pharmacy Benefits and after satisfaction of the Out-of-Pocket Maximum, Copayments will no longer apply for the remainder of the Benefit Period.

Copayment means the portion of BCBSM's approved amount that the Member must pay for Covered Services under the terms of a Certificate. This does not include a Deductible.

Copayment means the amount the Member pays when a Covered Service is received.

Copayment means a monetary amount, specified by the Director, that a member pays directly to a contractor or provider at the time covered services are rendered.

Copayment means an amount specified in a group or individual