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Copays

Sometimes members must share in the cost of the service provided.

This is a Copayment (or copay), or a set amount members pay when they receive a service.

Please refer to your Member Handbook (PDF) for complete information about copays.

You can find your copays on your member ID card.

Paying Copays and other Payments

  • You must make copays directly to providers at the time of service.
  • You may be responsible for paying for non-covered services if you sign a release agreeing to pay before services are received. Note, the cost of non-covered services is likely to be more than a copay for a covered service.

Exemptions:

These types of members are always exempt from copays:

  • AI/AN (American Indian/Alaskan Native)
  • Pregnant Women for Pregnancy-Related Services
  • Members receiving hospice care
Last Updated: 02/05/2024