copayment


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copayment

(kō′pā′mənt)
n.
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.

copayment

[kō′pāmənt]
(in the United States) an amount paid by a health insurance plan enrollee for each office or emergency department visit or purchase of prescription drugs in addition to the amount paid by the insurance company. See also deductible.

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.

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.

copayment,

n the beneficiary's share of the dental professional's fee after the benefits plan has paid.
References in periodicals archive ?
Data from Avalere also notes that nearly 40 percent of non-dual eligible Medicare home health patients do not have additional coverage and would be responsible for the full copayment.
Changes in medication adherence in response to copayment changes may also differ by condition.
Presently Medicare requires copayments for many of its services, but until now home health care has been the exception rather than the rule.
For a total of 2,830 employees, copayments for statins were eliminated and the co-payment for clopidogrel was significantly reduced.
In the study, copayments for a mammogram ranged from $12.
An important question about the varying effects of co-payments for medical services in prison is: What are the contributing factors that affect women's experiences with copayment and access to health care?
A deductible is a fixed aggregate amount the patient must pay for some or all health care services before calculation of the carrier's payment and any employee copayment or coinsurance.
Horizon also plans to compensate patients affected by this change by December 2011 for any excess copayment amounts incurred for physical therapy services - as well as those for occupational therapy, speech therapy and chiropractic services - provided between April 1, 2011 and August 31, 2011.
The effect of copayment increases also was magnified among Medicare managed care enrollees with hypertension or diabetes and those with histories of acute myocardial infarction.
In this manuscript, we report on the impact of the ED copayment level on ED visits, hospitalizations, ICU admissions, and deaths between 1999 and 2001 for populations with Medicare and with commercial insurance.
In addition, insurers have been using more traditional ways to cut costs for brand-name drugs through formularies and tiered copayment structures, Fitzgibbon said.
It makes no sense that osteoarthritis care for a nursing home resident is reimbursed by Medicare with a 20 percent copayment, while care for depression or a psychotic disorder requires a 50 percent copayment.