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Part One: Getting Started
Part Two: Getting Covered
Reference Guide
Benefits, Providers, and Costs
Coverage Types
Eligibility and Enrollment
Purchasing Coverage
Laws and Rights
Other Resources
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Reference Guide
Benefits, Providers, and Costs
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Related Topics
Cost-Sharing
Plan Characteristics and Types

Copayments

A copayment, or "copay" as it is sometimes called, is a flat fee that the patient pays at the time of service. After the patient pays the fee, the plan usually pays 100 percent of the balance on eligible services. Eligible services are those services that the plan includes in its coverage. The fee is usually small, such as $10 or $15. Copayments are common in HMO products, and less common in PPOs.
Other documents in the Benefits, Providers, and Costs section:

Benefits
Benefits of Providing Coverage
Choice of Providers
Co-insurance
Copayments
Costs of Group Coverage
Cost-Sharing
Coverage Scope
Deductibles
Managed Care
Paperwork and Plan Administration
Pre-Existing Conditions
Premiums

 

 
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