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QUESTION CARD Q067 · HEALTH PLANS & COSTS

Copayment

Understand the answer, compare the alternatives, and review the related terms.

CARD Q067

A plan charges $30 for a covered office visit regardless of the visit’s allowed charge. What is this $30 payment?

  1. Benefit period
  2. Copayment
  3. Coinsurance
  4. Premium
CORRECT ANSWER · B

Copayment

A copayment is a fixed amount. Coinsurance is a percentage of the covered amount.

Why each choice is right or wrong

A. Benefit period

Incorrect. A benefit period measures time, not a fixed visit payment.

B. Copayment

Correct. A copayment is a fixed amount. Coinsurance is a percentage of the covered amount.

C. Coinsurance

Incorrect. Coinsurance is a percentage rather than a flat $30.

D. Premium

Incorrect. A premium buys coverage; this payment is triggered by the visit.

Review the related terms

Use these lessons to revisit the concepts and try additional practice questions.

Sources & further reading