The set amount that a client pays when medical services are received.

The set amount that a client pays when medical services are received.

• A. Deductible
• B. Coinsurance
• C. Copay
• D. Premium

Answer: (C)

The set amount paid at the time you receive medical services is a copay. This is a fixed out-of-pocket fee charged by many health plans for specific services, paid at the point of service regardless of the total bill. It differs from a deductible, which is the amount you must pay out-of-pocket before insurance starts covering services in a policy year, and from coinsurance, which is the percentage of costs you pay after meeting your deductible. Premium is the regular payment you make to maintain coverage, usually monthly, and isn’t tied to a single visit. So the fixed amount described is copay.

The set amount paid at the time you receive medical services is a copay. This is a fixed out-of-pocket fee charged by many health plans for specific services, paid at the point of service regardless of the total bill. It differs from a deductible, which is the amount you must pay out-of-pocket before insurance starts covering services in a policy year, and from coinsurance, which is the percentage of costs you pay after meeting your deductible. Premium is the regular payment you make to maintain coverage, usually monthly, and isn’t tied to a single visit. So the fixed amount described is copay.