Copay (Copayment)

Also called: Co-payment, Co-pay

In plain English

A fixed dollar amount you pay for a covered medical service at the time you receive it. Unlike coinsurance (a percentage), a copay is a set fee — like $25 for a doctor visit or $50 for a specialist.

Real-world example

Your plan has a $30 copay for primary care visits and a $50 copay for specialists. No matter what the doctor charges, you pay the copay amount and insurance covers the rest (assuming you're in-network).

Why this matters for your bill

Copays are the simplest form of cost-sharing. They're predictable and usually apply before your deductible. But watch for services that are subject to coinsurance AFTER the deductible instead — not everything is a flat copay.

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