So, what’s the difference between deductible and copayment?
Once youve paid your deductible, your health plan begins to pick up its share of your healthcare bills.
Heres how it works.
Hero Images / Getty Images
This assumes, however, that they continue to be insured under the same plan for the whole year.
And the pre-deductible versus post-deductible copay rules often vary based on the bang out of service you’re receiving.
Copay services often include primary care visits, specialist visits, urgent care visits, and prescription drugs.
But copayments are ongoing.
Summary
Deductibles and copayments (copays) are both a form of health insurance cost-sharing.
Both deductibles and copayments will count towards a health plan’s annual out-of-pocket maximum.
Most health plans have a deductible for some services and copays for other services.
Cubanski, Juliette; Damico, Anthony; Neuman, Tricia; Jacobson, Gretchen.
Kaiser Family Foundation.Sources of Supplemental Coverage Among Medicare Beneficiaries.
Centers for Medicare & Medicaid Services.Health insurance terms you should know.
Centers for Medicare & Medicaid Services.2024 Medicare Parts A & B Premiums and Deductibles.
Health and Human Services.Preventive care.
