Question

What term is this: a relatively small fixed fee that a health insurer requires the patient to pay following deductible payment upon occurring medical expense covered by the health insurer; in or out of network does not matter, if contract allows it then you can bill the patient (there is a max amount that you can bill them), collect money before you send it to the insurance carrier in anticipation of what they owe

a) Copayment
b) Coinsurance
c) Premium
d) Preauthorization

Answer 1

A copayment is the fixed fee patients pay after meeting their deductible regardless of the network status of the healthcare provider, as part of their health insurance's cost-sharing structure.

Step-by-step explanation:

The term described is copayment, which is a relatively small fixed fee that a health insurer requires the patient to pay upon occurring medical expense covered by the insurer. this fee is charged after the deductible has been paid and does not depend on whether the healthcare provider is in or out of the network.

Patients are often required to pay this copayment before the service is rendered as part of the cost-sharing aspect of their health insurance plan. Health insurance plans typically include a mixture of deductibles, copayments, and coinsurance to ensure that policyholders share in the costs of their healthcare, which can help to reduce moral hazard.