Guide to Office Visit Copays

Copay Tips

• You are typically required to pay your copay to your doctor’s office at the time of your visit
• The office visit copay is a set dollar amount (e.g. $15 per visit)
• Your deductible may not apply, depending on your health plan design

You will not pay copays for preventive care office visits. Copays are for the office visit only, and do not cover any additional services you might receive during your visit (e.g. lab work or X-rays). Any additional services are subject to your deductible and coinsurance, until you reach your out-of-pocket limit. Here are examples of office visit types and the applicable copays.

*If all prenatal visits are billed as a package at the end of pregnancy, then your deductible and 10% coinsurance apply. Check with your doctor’s office for more information.