co-payment


Also found in: Dictionary, Financial.

co-payment

Managed Care That portion of a claim or medical expense that a health plan member must pay out-of-pocket for specific medical services–eg, hospital care, drugs, office visits, etc; the insurer pays the remaining portion

co-payment

, co-pay (ko?pa'ment) (ko'pa')
The fee insured persons must pay, in addition to their health insurance premiums and deductibles, for specific medical services such as emergency department visits, appointments with primary care providers, laboratory studies, prescriptions, or x-ray examinations.
See: coinsurance
References in periodicals archive ?
The purpose of this study was to assess the impact of the implementation of a co-payment policy on dental services within a 10 dental clinic region of a state correctional system.
She lists customer satisfaction, routine preventive care, employee co-payments and appropriateness of care, which are all weighed by Hughes's finance and HR team.
These are the first ever changes to Fair PharmaCare deductibles and co-payments since the program was created 15 years ago a long overdue step forward in improving the health and lives of thousands of British Columbians.
Oppong Danquah said co-payment defeats the purpose of NHIS and assured service providers that, the authority operates an open door policy to dialogue on their challenges, rather than frustrating the poor patients at the hospitals.
The Patient Protection and Affordable Care Act of 2010 (PPACA) prohibits non-grandfathered group health plans or individual coverage issuers from imposing higher deductibles, co-payments or other cost-sharing requirements on enrollees who get emergency care from out-of-network providers, rather than in-network providers.
This would allow GPs to bulk-bill the scheduled fee and also charge a co-payment. With GPs facing greater economic pressure and the health minister considering legislative changes to make it easier for GPs to charge, "GP co-payments, like Lazarus, may rise again from the dead", the researchers said.
[sup][6] However, second, health insurance only accounted for approximately one fifth of the total health expenditures due to deductibles, co-payment rates, and ceilings, the remaining was mostly paid by out-of-pocket (OOP).
Scheffer told the Guardian that she agrees to the medical future fund but not the implementation of the GP co-payment. She said she wants the medical research fund to get its financial support from other sources that are more innovative.
The combination of parity, greater co-payment levels, and the increasing trend toward deductibles highlight the need for a reexamination of the manner in which cost sharing affects the use of mental health services.
On July 6, 2010, VA's Office of General Counsel determined this new law also exempts CD veterans from prescription co-payments. The law's effect on extended-care co-payment is still under review by VA's general counsel as of this writing, so these payments are currently not exempt and are not being canceled.
Deductibles and co-payment amounts varied even within the same insurance company depending on the type of plan the patient qualified for and costs were reported to continue to increase annually.
The profit of the University will drop dramatically because the annual students' co-payment will be reduced from 1,200 to 400 euros.