What type of service does a copayment typically pertain to?

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A copayment, often referred to as a copay, is a fixed amount of money that a patient pays for a specific medical service, typically at the time of the visit. Copayments are most commonly associated with outpatient visits, which involve appointments where the patient receives care without being admitted to a hospital. This includes visits to a physician's office, specialist consultations, or urgent care services.

The design of a copayment structure is primarily to share the cost of care between the insurance provider and the patient, encouraging the use of preventive and routine health services. For outpatient services, copays tend to be lower compared to inpatient hospitalizations since these services usually have a different cost structure.

While copayments can also apply to other types of services such as telehealth consultations, the general association of copayments with regular outpatient visits remains the most prevalent and recognized context in health insurance plans.

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