How does a copayment or coinsurance affect the price I pay for medication?

A copayment (copay) or coinsurance is the portion of the total medication cost that you pay. Your prescription plan pays the rest of the cost. Here’s how these can affect the cost of your medication:

  • To be eligible for a copay or coinsurance instead of paying the full cost for some medications, some plans require that you buy a certain amount of medication or that you buy it from a certain pharmacy network.
  • Depending on your plan’s deductible, you might pay the full cost to fill a prescription.
  • Deductibles, copays, and coinsurance vary by plan. To learn about your plan’s details, go to Benefits Overview.

You can learn more about terms like deductible, copay, and coinsurance in Common Terms.

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