Which term refers to a specified amount the insured must pay for healthcare services?

Study for the Virginia Life and Health Exam. Enhance your knowledge with flashcards and multiple choice questions, each with hints and explanations. Prepare effectively for your exam!

The specified amount that the insured must pay for healthcare services is termed "copayment." A copayment, often referred to as a "copay," is a fixed fee that a policyholder pays directly to the healthcare provider at the time of service. This fee is typically a small portion of the total cost of the service provided.

Understanding copayments is essential as they are a common feature in many health insurance plans, helping to manage the costs shared between the insurer and insured. For example, a health insurance plan might require a $20 copay for a doctor's visit or a $10 copay for prescription medications. This structure encourages policyholders to seek necessary medical care while also sharing some of the financial responsibility.

Other terms related to health insurance have different meanings: a premium is the amount paid regularly to keep the policy active, a deductible is the initial amount the insured must pay before the insurance begins to cover costs, and co-insurance is a percentage of costs that the insured pays after the deductible has been met. Each of these plays a distinct role in the overall cost-sharing arrangement between the insured and the insurer, but does not describe the specific fixed fee associated with service at the point of care like a copayment does.

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