
DeductiblesĪ deductible is the amount you have to pay out of pocket before your insurance starts to cover defined benefits. It’s important to understand the difference between copay vs deductible, as deductibles are the predetermined amount you need to pay before your insurance provider starts covering your expenses. For example, if your plan has a $20 copay for each visit to your primary care physician, you will pay $20 at each visit.Ĭopays do not count towards your deductible or maximum out-of-pocket expenses. Key Differences: Copay vs Deductible CopaysĬopays are a fixed fee that you pay out-of-pocket for specific healthcare services or prescription drugs covered by your insurance plan. A copay is a fixed amount paid out of pocket for medical services or prescription drugs at the time of service, while a deductible is the amount that must be paid before the insurance plan starts covering defined benefits.Īccording to MetLife and eHealthInsurance, both copays and deductibles are out-of-pocket expenses that policyholders need to consider. When it comes to health insurance, it’s important to understand the difference between copays and deductibles.

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