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.