Normally insurance companies offer different types of policies with different coverages, adapting to the profile of the user who demands them. This is because not everyone has the same needs, something that insurers know very well. Health insurance is no exception, since it includes individuals of different age range, with different personal situations and with varied economic needs.
Therefore, there are different types of health policy, including: no co-payments and co-payments. Medical policies without co-payments allow you to attend all the clinics and doctors included in the medical chart of the insurer, that is, those with which you have an agreement, without paying anything for the consultations. Paying a monthly premium entitles you to enjoy the services included in its conditions.
However, with insurance with copayments you do have to pay a price for the visits to the doctor you make. This amount of money is added to the insurance premium that must be paid the following month, so the monthly payment may be different, depending on the use that has been given to the services included in the policy.
Pros and cons of the health co-payment
Some people who use private health insurance in smaller amounts, prefer policies in which you only pay for the use they give it and others instead, prefer to be protected in all cases. In the case that you are one of the first, the insurance with copay is usually cheaper than the ones without copay, so they can benefit you if you are looking to save.
In addition, they also benefit users who prefer to go to private specialists such as gynecologists, rheumatologists or traumatologists, who may have longer waiting times in social security. With this type of insurance, visits are cheaper than if they were made without any type of health policy.
On the other hand, this policy also benefits those people who do not usually go to the doctor. If you are one of those who rarely goes to the doctor’s office, it may compensate you to pay only for the visits you make.
However, if you suffer from a serious illness, visits to the doctor could multiply. In that case, the price of insurance would increase substantially and the modality may no longer be offset by co-pays, as it could reach a very high price. In this case, some insurers impose a price limit per year on copayments and if the insured were to exceed it, they would no longer have to pay for their consultations.
What prices can copays have?
The prices of copayments and the insurance premium depend on each insurer. In certain policies the co-pay varies depending on the medical service used. A visit to your GP, for example, may not be priced at the same price as a consultation with a heart specialist.
However, other insurers may offer a policy with established copayments, in which the same is paid for all visits, treatments or tests, regardless of the specialty.