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

• Benefits are subject to the same Deductibles, Coinsurance Amounts and Copayment Amounts as for services and supplies generally.

• Benefits provided above by a Network Provider will not be subject to Deductible, Copayment Amounts or Coinsurance Amounts.

• Benefits provided above by an Out-of-Network Provider will be subject to Deductible, Copayment Amounts or Coinsurance Amounts.

• The Deductible, Coinsurance Amount, and Copayment Amounts, if any, will not be applicable.

• When necessary to fill a partial Prescription Order to permit synchronization, BCBSTX will prorate the Copayment Amount or Coinsurance Amount due for Covered Drugs based on the proportion of days the reduced Prescription Order covers to the regular day supply outlined in your Schedule of Coverage.

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 a payment required of covered persons as a condition of the receipt of specific

Copayment or “Cost-share” means the amount the Insured pays at the time a Covered Service is received.

Copayment means the amount Medicare requires that you pay for covered benefits.