Work out insurance copay for drug instantly with clear inputs, formula shown and shareable results.
Applies a percentage coinsurance to the drug cost and then clamps it between the plan's minimum and maximum copay.
Copay with bounds
Copay = min(max(total cost x coinsurance, minimum copay), maximum copay)
They keep cheap prescriptions worth processing and protect patients from very expensive specialty drugs.
It depends on the plan; many count copays toward the out-of-pocket maximum but not the deductible.