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I’ve worked in healthcare for decades and have literally never seen this. Are you sure you’re not thinking of coinsurance? Coinsurance and copays are two different things, a copay is a set fee dictated by your insurance that you pay up front, whereas coinsurance is usually the percentage you owe of anything billed to your insurance, which includes both facility and provider fees

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Angrydeuce@lemmy.world ⁨5⁩ ⁨weeks⁩ ago
I’d have to look at my bill(s) but long story short, every time I visit the doctor, I get billed by two seemingly separate entities for merely visiting them. Everything else they do is a separate line item on their respective bills. So if it’s not a copay, what is it? A visit fee? All I know is I either pay it or I get harassed incessantly so I pay it.

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- protist@retrofed.com ⁨5⁩ ⁨weeks⁩ ago
  A copay is what you pay up front at the doctor’s office. Depending on the services provided, you may receive a bill after the fact that will be either the percentage you’re obligated to pay by your insurance company (coinsurance) or the balance your insurance didn’t cover, for example if you haven’t met your deductible. You’ll definitely sometimes get separate bills from a provider and a facility, but usually at hospitals moreso than outpatient clinics
  
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