What is the amount the patient must pay for each office visit called?

What is the amount the patient must pay for each office visit called?

• A. Co-payment
• B. Deductible
• C. Coinsurance
• D. Premium

Answer: (A)

At the point of service, the amount the patient pays for each visit is called a co-payment. It’s a fixed dollar amount you pay when you receive a covered service, set by the plan and often varying by the type of visit. This is different from a deductible, which is the amount you must pay out of pocket before the plan begins to pay, and from coinsurance, which is your share of costs after meeting the deductible (a percentage of the allowed amount). The premium is the regular, typically monthly, payment to keep the insurance policy active and isn’t tied to any single visit. So the per-visit patient payment is the co-payment.

At the point of service, the amount the patient pays for each visit is called a co-payment. It’s a fixed dollar amount you pay when you receive a covered service, set by the plan and often varying by the type of visit. This is different from a deductible, which is the amount you must pay out of pocket before the plan begins to pay, and from coinsurance, which is your share of costs after meeting the deductible (a percentage of the allowed amount). The premium is the regular, typically monthly, payment to keep the insurance policy active and isn’t tied to any single visit. So the per-visit patient payment is the co-payment.