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reimbursement: copayment (copay)


A modest payment made by an HMO enrollee at the time that selected services are rendered. Some HMO's require a $2.00 copayment for each doctor's office call. Some impose a fixed dollar amount for inpatient hospitalization. Copayments are subject to limitation as defined in Subpart A, 110.105 of the Federal HMO Regulations.*

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*Extracted from Family Physicians and Managed Care: A View to the 90's: (paperback 1993) with permission from American Academy of Family Physicians



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