We use cookies on our site to analyze traffic, enhance your experience, and provide you with tailored content.

For more information visit our privacy policy.

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

  • DOC-3035 – Health Service Request and Copayment Disbursement Authorization Effective Communication - A way of communicating with PIOC who are deaf and/or hard of hearing that is as effective as communicating with those PIOC who are not deaf and/or hard of hearing and shall, when necessary, include appropriate auxiliary aids and services.

  • If you or your provider decide that you need a different contraceptive drug or device than those listed on our formulary or those covered as a preventive care service, you or your provider may request an exception using our Contraceptive Copayment Waiver form.

  • If the Member selects a deluxe version of the appliance, device, or equipment not determined by CareFirst BlueChoice to be Medically Necessary, CareFirst BlueChoice will pay an amount that does not exceed CareFirst’s payment for the basic device (minus any Member Copayment or Coinsurance) and the Member will be fully responsible for paying the remaining balance.

  • There is no Deductible, Copayment and/or Coinsurance associated with services provided under this program.

  • The Member will be responsible for the same Copayment for each follow-up visit as would be required for a visit to a Contracting Physician for specialty care.


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.