copayment

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copayment

(kō′pā′mənt)

A specified sum of money that patients covered by a health insurance plan pay for a given type of service, usually at the time the service is rendered.

co·pay·ment

, copay (kōpā-mĕnt, kōpā)

A fixed or set amount paid for each health care or medical service; the remainder is paid by the health insurance plan. In common parlance, copay is the term used.
See also: coinsurance, cost sharing
Synonym(s): out-of-pocket costs, out-of-pocket expenses.

Medical Dictionary for the Health Professions and Nursing © Farlex 2012

co·pay·ment

, copay (kōpā-mĕnt, kōpā)

That portion of a dental care charge for which the patient herself, rather than a third party payor (i.e., insurer), is responsible.

Medical Dictionary for the Dental Professions © Farlex 2012

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References in periodicals archive ?

The explanatory variables of interest included (1) an indicator of whether a veteran had copayments required; (2) year indicator effects for 2001, 2002, and 2003; and (3) an interaction of copayment status and each time effect.

Modeling Semicontinuous Longitudinal Expenditures: A Practical Guide

"That many of these domains of care seem sensitive both to small changes in copayments and potentially to behavioral nudges--and that many of the treatments affected seem to be of high health value--suggests that incorporating not only moral hazard but behavioral hazard into our models of optimal insurance design may have large-scale implications for public policy"

Behavioral hazard in health insurance

She said the city's most popular plan, Medex, will have a premium decrease of 6.9 percent; it will go down from $348 per month to $324.12, though the plan will also include a new $50 per quarter inpatient copayment.

City to save 5 percent on retiree Medicare plans

Families might be able to find lower insurance premiums, but when they start paying 40% of the visit cost instead of just a $10 copayment, they may become increasingly reluctant to bring their children in.

Health insurance exchanges

Now, however, the growing number of biologic drugs available to treat cancer, immune disorders, and a variety of chronic illnesses--including multiple sclerosis (MS)--has caused some insurers to create a fourth copayment tier.

How will we manage?

Data on patient demographics, copayment amount, generic status, source of insurance, how the prescription was transmitted, and whether the medication was for an acute or chronic condition were available.

Why patients don't pick up prescriptions

This policy can make an impressive difference in your bottom line, but you need to keep in mind that even if the collection of office-encounter copayments has been successful, collecting the larger amounts required for surgical procedures can be challenging; in fact, collecting these larger prepayments from patients can be downright uncomfortable for your staff.

Collecting surgical copayments and deductibles

Small insurance copayments are enough of a deterrent to keep many older women from getting mammograms to detect breast cancer, according to a recent study.

Copay may be a deterrent to getting mammograms

Research finds that even modest health insurance copayments discourage older women from getting mammograms.