Health Insurance Michigan | individual and group insurance solutions » co-payment

What is a health insurance co-payment?

Billy Bj Strawter Jr — Sat, 10 Dec 2011 03:12:48 +0000

A co-payment is a fixed-dollar amount that you are responsible for paying for a particular medical service. For example, many plans have $35 co-payments for doctor’s visits. This means it only costs you $35 to see a doctor. Most individual Michigan health insurance plans offer doctor co-pays between $35-$50

Originally posted 2009-07-31 18:36:34. Republished by Blog Post Promoter

What’s an out-of-pocket expense?

Billy Bj Strawter Jr — Sat, 12 Nov 2011 23:43:45 +0000

An out-of-pocket expense is any cost you have to pay yourself when receiving medical care. This includes your deductible, co-payments, and coinsurance. Most Michigan health insurance policies have an annual maximum out-of-pocket expense. Once you’ve reached your maximum out of pocket in a calendar year, your insurance company will pay 100% of the rest of your covered medical costs.

Originally posted 2009-07-31 18:42:02. Republished by Blog Post Promoter

Office Visit Copay: 20% after Deductible, should mean what to me?

Billy Bj Strawter Jr — Thu, 03 Jun 2010 23:21:42 +0000

Frequently Asked Questions

If you have a health insurance plan that states office visit copay: 20% after deductible, what is the cost of your office visit?

Great question. If your plan does not include office visits prior to the deductible, you are responsible for the full cost of the office visit. That is, until you satisfy the deductible.

Once you satisfy your deductible you would be responsible for 20% of the cost of the office visit.

Example:

You have satisfied your deductible
Doctors Office charges you $100 for an office visit
The insurance company would pay $80 dollars towards the office visit
You would be responsible for the remaining $20 dollars.