Both the Co-pay and deductible plans provide comprehensive major medical benefits for inpatient and outpatient physician services.

The only difference between the two plans is that with the traditional deductible plan, you must pay your deductible up to whatever limit you choose before medical coverage is provided. While with the Co-pay plan, you have a set amount you pay per office visit up to a predetermined limit, and during this time all medical coverage ids paid for above the Co-pay limit.
 

Glossary of terms

Maximum Co-payment Limit: is the total annual amount of out of pocket expense that you are responsible for before the health insurance company begins coverage at 100%.

Covered Expense: is the expense you incur for medically necessary services and supplies listed in the benefits sections of the service agreement with the health insurance company.

Deductible: is the amount you must pay for Covered Expense before certain benefits are available to you.

Limited Fee Schedule: is the health insurance companies listing of maximum amounts allowed for certain specific services provided by non-participating providers.