Frequently Asked Questions
What is Co-Pay?
Generally, the co-pay amount for a primary payor is in the form of
a percentage or fixed dollar amount of the total allowable charge for
the particular item or service. In the case where a patient has a Medicare
coinsurance policy, the co-payment amount is after Medicare pays 80%
of the total allowable charge for that particular item or service. If
the coinsurance carrier pays only part of the 20% after Medicare, then
the remaining balance is the patient’s responsibility.
