In plain English
This is a set amount of money rather than a percentage of the bill. It is what an insured person pays for each covered appointment with a healthcare provider who offers specialist care.
In context
Here, the term labels the fixed amount the insured person pays for each covered visit to a specialist healthcare provider.
- Situation
- Reading premium, deductible, excess, copay, limit, and out-of-pocket fields
- What it communicates
- labels the specialist-visit copay amount in the benefits summary
Meaning limits
The term alone does not say whether a particular visit is covered or what the amount is.
Examples
“With his insurance, the specialist copay was $35 for each covered dermatology visit, whether the bill was $120 or $300.”
“The receptionist collected the specialist copay when Nina arrived for her endocrinology appointment.”