The personal or family budget can be affected by health problems that can arise at any time. In this situation, it would be advisable to be affiliated with health insurance that gives us the peace of mind of having quality medical assistance and, most importantly, that takes care of our pockets as only a copayment could.
We tend to think that copayment is an extra expense. And it may seem like this at first glance, but if you have health insurance with a copayment, this would mean saving a good amount of soles and long-term debts that you and your family will appreciate.
Don’t forget to check out our article How Health Insurance Works, here.
Now that you know how important it is to be clear about what the copay means. We will explain it to you in a simple way below.
What is a copayment in health insurance?
The copayment is the amount that you would have to pay for the use of medical services. If you were affiliated with health insurance. This credit corresponds to a small amount that is paid for a consultation in a clinic. Or other medical assistance that you may need.
When hiring health insurance, it is key to look not only at the fee or premium. That you will have to pay as the insured. But also at the copayment of the plan that best suits your needs and those of your family because it will be convenient for you to have the insurer include medical services with very minimal copayments or even cover them 100% (free).
Are deductible and copay the same?
One of the advantages of being affiliated with health insurance is that the insurer can take care of some or all of the affiliate’s medical expenses. Among these medical expenses are the deductible and copayment, which are borne by the insured and are not necessarily the same.
What is the difference between deductible and copayment? Find out with us;)
The deductible is a co-payment of a fixed amount that the insured pays according to his plan when he uses his health insurance in the allied medical centers. This is given for medical consultations, home doctor, among other attentions
For example, Rimac’s health insurance offers a deductible for outpatient care starting at S / .40 at its covered clinics. Know the clinics where you could attend with your health insurance, here
While the copayment is the minimum amount that the insured pays for using the medical services in the medical centers covered by his plan. The copayment can be deductible (fixed amount copayment) and coinsurance (variable amount copayment).
That is, a deductible is a type of copayment.
How to calculate the health insurance copayment?
To calculate the copayment in health insurance, it is important to consider the types of copayment: deductible and coinsurance.
For example, if we calculate outpatient care in the Rimac Preferential Health Plan of its Network 1 of affiliated clinics, the deductible would be S / .40. Then the insured would have to pay S / .40 for the medical consultation and not the amount that the clinic has set in a particular way.
If the doctor of that consultation thinks it convenient to carry out tests or prescribe medications. Then you should look at the% of coinsurance of the plan in which you will find yourself. For example, Rimac, under the same plan for Outpatient Care in Network 1 of the affiliated clinics. Offers a coinsurance of 90%. So, if the drugs cost S / .100, you would only have to assume S / .10.
