Copayment | Practical Law

Copayment | Practical Law

Copayment

Copayment

Practical Law Glossary Item 6-504-9828 (Approx. 2 pages)

Glossary

Copayment

A dollar amount that a health plan participant must pay to receive a benefit covered under the plan. For example, a plan may require a participant to pay a $25 copayment for a covered visit to the participant's primary care physician. Copayments (also referred to as copays) may vary based on:
  • The terms of the health plan.
  • The covered service.
  • Whether the service provider is within the plan's network.