Copayment definition

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

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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

• Your Cost Share includes any: • Deductible; • Copayment amount; and • Coinsurance amount.

• If you receive both Preventive Health Services and other Covered Services during the Physician office visit, you may have a Copayment or Coinsurance for the visit.

• If you only receive Preventive Health Services during a Physician office visit, there is no Copayment or Coinsurance for the visit.

• The Evidence of Coverage tells you: • Your eligibility for coverage; • When coverage begins and ends; • How you can access care; • Which services are covered under your plan; • Which services are not covered under your plan; • When and how you must get prior authorization for certain services; and • Important financial concepts, such as Copayment, Coinsurance, Deductible, and Out-of-Pocket Maximum.

• Whenever you receive Covered Services outside of California, within the BlueCard Service Area, and the claim is processed through the BlueCard® Program, your Member share of cost for these services, if not a flat dollar Copayment, is calculated based on the lower of: • The billed charges for Covered Services; or • The negotiated price that the Host Blue makes available to Blue Shield.

More Definitions of Copayment

Copayment or “Cost-share” means the amount the Member pays when a Covered Service is received.

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 Medicare requires that you pay for covered benefits.

Copayment means the fixed dollar amount a member pays to a health care provider at the time a covered service is provided or the full cost of a service when that is less than the fixed dollar amount.