+ FAQs
  • What is the difference between a 'copay' and 'coinsurance'?

Copay: A copay is usually a flat fee.  For example, every time you go to the doctor you pay a $25.00 copay for the office visit, regardless of the level of service you receive. This amount is due at the time of the visit.

Coinsurance: Coinsurance is a term used for a percentage amount you are responsible for.  For example, if your insurance policy is '80/20', then the insurance pays 80%, and you are responsible for the remaining 20% of the charges.  This 20% is called 'coinsurance'.  The amount can vary as the cost of the services performed varies.  You will receive a bill for your portion once the service charges have been sent to the insurance company. 

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