• Is It Better To Pay A Copay Or Coinsurance
• Copay Definition Medical

What is a copayment?

A copayment is a defined dollar amount a patient pays for medical expenses. With many health insurance plans, a patient pays 100 percent of costs out-of-pocket until they have met their deductible. After meeting the deductible, a patient pays a copayment (often shortened to “copay”).

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Do I pay the same copayment for all types of healthcare services?

No. Health insurance plans set different copay amounts for different types of services, such as an emergency room visit vs. an office visit. For prescription drugs, most plans define different copayments for different categories (formulary tiers) of drugs. For example, a plan might have a $10 copay for a generic drug, $25 for a preferred brand-name drug, $50 for a non-preferred brand-name drug, and $100 for a specialty drug.

Plans may also require a mixture of copayments and coinsurance. For example, you may have a copayment for prescription drugs, but coinsurance for a hospital stay. Adobe flash player uninstaller macbook pro. And, insurance plans sometime “stack” copayments and coinsurance. For example, you might pay a baseline copayment of $100 for a hospital stay plus 20 percent of charges for healthcare services you receive during your stay.

Do copayments vary if I go to an in-network vs. out-of-network provider?

Yes, almost all health insurance plans require the patient to pay more for an out-of-network service. Check your certificate of insurance, certificate of coverage, or summary plan description (SPD) to understand what portion of a given medical expense you will be responsible for paying. Anydesk black friday deals. Some plans might not cover a service provided by an out-of-network. Others may require the covered individual to pay the difference between charges from an in-network and an out-of-network provider.

A copayment or copay is a fixed amount for a covered service, paid by a patient to the provider of service before receiving the service. It may be defined in an insurance policy and paid by an insured person each time a medical service is accessed. It is technically a form of coinsurance, but is defined differently in health insurance where a coinsurance is a percentage payment after the deductible up to a certain limit. It must be paid before any policy benefit is payable by an insurance company. Copayments do not usually contribute towards any policy out-of-pocket maxima whereas coinsurance payments do.^[1]

Insurance companies use copayments to share health care costs to prevent moral hazard. It may be a small portion of the actual cost of the medical service but is meant to deter people from seeking medical care that may not be necessary (e.g., an infection by the common cold). In health systems with prices below the market clearing level in which waiting lists act as rationing tools,^[2] copayment can serve to reduce the welfare cost of waiting lists.^[3]

However, a copay may also discourage people from seeking necessary medical care and higher copays may result in non-use of essential medical services and prescriptions, thus rendering someone who is insured effectively uninsured because they are unable to pay higher copays. Thus, there is a balance to be achieved: a high enough copay to deter unneeded expenses but low enough to not render the insurance useless.^{[editorializing]}

Germany[edit]

The German healthcare system had introduced copayments in the late 1990s in an attempt to prevent overutilization and control costs. For example, Techniker Krankenkasse-insured members above 18 years pay the copayments costs for some medicines, therapeutic measures and appliances such as physiotherapy and hearing aids up to the limit of 2% of the family's annual gross income. For chronically ill patients, the co-payment limit is 1% including any dependant living in their home. The average length of hospital stay in Germany has decreased in recent years from 14 days to 9 days, still considerably longer than average stays in the U.S. (5 to 6 days).^[4][5] The difference is partly driven by the fact that hospital reimbursement is chiefly a function of the number of hospital days as opposed to procedures or the patient's diagnosis. Drug costs have increased substantially, rising nearly 60% from 1991 through 2005. Despite attempts to contain costs, overall health care expenditures rose to 10.7% of GDP in 2005, comparable to other western European nations, but substantially less than that spent in the U.S. (nearly 16% of GDP).^[6] However, after research studies by the Forschungsinstitut zur Zukunft der Arbeit (Research Institute for the Future of Labor) showed the copayment system was ineffective in reducing doctor visits, it was voted out by the Bundestag in 2012.

Prescription drugs[edit]

Some insurance companies set the copay percentage for non-generic drugs higher than for generic drugs. Occasionally if a non-generic drug is reduced in price insurers will agree to classify it as generic for copayment purposes (as occurred with simvastatin). Pharmaceutical companies have a very long term (frequently 20 years or longer) lock on a drug as a brand name drug which for patent reasons cannot be produced as a generic drug. However, much of this time is exhausted during pre-clinical and clinical research.^[7]

To cushion the high copay costs of brand name drugs, some pharmaceutical companies offer drug coupons or temporary subsidized copayment reduction programs lasting from two months to twelve months. Thereafter, if a patient is still taking the brand name medication, the pharmaceutical companies might remove the option and require full payments. If no similar drug is available, the patient is 'locked in' to either using the drug with the high copays, or a patient takes no drugs and lives with the consequences of non-treatment.

Observed effects[edit]

Medication copayments have also been associated with reduced use of necessary and appropriate medications for chronic conditions such as chronic heart failure,^[8]chronic obstructive pulmonary disease, breast cancer,^[9] and asthma.^[10] In a 2007 meta-analysis, RAND researchers concluded that higher copayments were associated with lower rates of drug treatment, worse adherence among existing users, and more frequent discontinuation of therapy.^[11]

Is It Better To Pay A Copay Or Coinsurance

See also[edit]

Notes[edit]

1. ^University of Puget Sound. Benefits update. 2006 medical plan frequently asked questions. What is the difference between co-payments, coinsurance, and deductibles? Retrieved November 10, 2008.
2. ^Lindsay, Cotton M. and Bernard Feigenbaum (1984) 'Rationing by waiting lists', American Economic Review 74(3): 404-17.
3. ^Diego Varela and Anca Timofte (2011), 'The social cost of hospital waiting lists and the case for copayment: Evidence from Galicia'Archived 2015-11-07 at the Wayback Machine, The USV Annals of Economics and Public Administration 11(1): 18-26.
4. ^'Germany: Health reform triggers sharp drop in number of hospitals'. Allianz. 25 July 2005. Retrieved November 14, 2011.CS1 maint: discouraged parameter (link)
5. ^'Average Length of Hospital Stay, by Diagnostic Category – United States, 2003'. Centers for Disease Control and Prevention. Retrieved November 14, 2011.CS1 maint: discouraged parameter (link)
6. ^Borger C, Smith S, Truffer C, et al. (2006). 'Health spending projections through 2015: changes on the horizon'. Health Aff (Millwood). 25 (2): w61–73. doi:10.1377/hlthaff.25.w61. PMID16495287.
7. ^Schacht, Wendy H. and Thomas, John R. Patent Law and Its Application to thePharmaceutical Industry: An Examination of the Drug Price Competition and Patent Term Restoration Act of 1984('The Hatch-Waxman Act')[1] Retrieved December 1, 2014.
8. ^Cole JA, et al. Drug copayment and adherence in chronic heart failure: effect on cost and outcomes.^{[permanent dead link]} Pharmacotherapy 2006;26:1157-64.
9. ^Neugut AI, Subar M, Wilde ET, Stratton S, Brouse CH, Hillyer GC, Grann VR, Hershman DL (May 2011). 'Association Between Prescription Co-Payment Amount and Compliance With Adjuvant Hormonal Therapy in Women With Early-Stage Breast Cancer'. J Clin Oncol. 29 (18): 2534–42. doi:10.1200/JCO.2010.33.3179. PMC3138633. PMID21606426.^{[permanent dead link]}
10. ^Dormuth CR, et al. Impact of two sequential drug cost-sharing policies on the use of inhaled medications in older patients with chronic obstructive pulmonary disease or asthma. Clin Ther 2006;28:964-78; discussion 962-3.
11. ^Goldman DP, Joyce GF, Zheng Y. Prescription drug cost sharing: associations with medication and medical utilization and spending and health. JAMA 2007;298:61-69.

Copay Definition Medical