Copay

Copay is a fee, usually a small amount, paid by a member to the provider for expenses incurred at a medical facility, such as a physician's office or an outpatient hospital.

The amount of copay applicable on a service depends on the plan, type of service rendered, and who is rendering the service. This table lists some of the services and their respective copay amount.

Services	Amount of Copay
Primary care physician (PCP) visits	$20
Covering physician	$20
Specialist visits	$30
In-network physical therapy	$20
In-network chiropractic	$20
Urgent care center	$40
Emergency room	$50

The amount of copay, displayed in the table, is indicative and the actual amount will vary depending on the type of plan.

 Copay for each service needs to be paid separately.

Exercise for copay Question: Sam has contracted an eye infection and is visiting Dr. Richard Dearden in this regard. Dr. Dearden examines Sam and prescribes an antibiotic. For the services rendered, Dr. Dearden charges $30. If $10 is the copay amount provided by Sam’s health insurance plan, what amount needs to be paid by Sam and the insurer? Question: It’s been a week since Sam’s last diagnosis and he is again visiting his primary care physician (PCP) today. The PCP examines Sam’s infected eye and informs him that the infection is cured. The PCP charges $10. Considering that Sam’s plan has s a copay of $10, what amount needs to be paid by Sam and the insurer?