Terminus [ Selbstbehalt ]

Kontext 1
Derzeit gibt es für Beamte und Gewerbetreibende einen Selbstbehalt beim Arztbesuch. Im Zuge der Regierungsverhandlungen war diskutiert worden, den Selbstbehalt auf ASVG-Versicherte auszudehnen und dafür die jetzige Krankenscheingebühr von 50 Schilling pro Quartal abzuschaffen.
PRESSE, 18.01.2000

Definition 1
Fee paid by by the consumer of health services directly to the provider at the time of delivery. WHO glossary (
http://w3.whosea.org/healthreport/pdf/opp.pdf)

Kontext 1
Some employees will have to change doctors as well, if their physicians are not on the roster of the new health plan. Everyone who makes the switch will have to deal with a new set of customer service representatives and often different rules and out-of-pocket payments.
nytimes, 9.11.2001

Definition 1
out-of-pocket payment WHO glossary

Definition 1
short: copay; A percentage of the charges for which you are responsible when receiving covered services.
healthGL

Kontext 1
Companies have been increasing employee co-payments for drugs in their health plans for several years. But now, some health plans are imposing deductibles of as much as $150, which employees must pay before their medicines are covered, or have begun to require them to pay as much as half the retail cost of the drugs. Still other plans are paying for certain expensive drugs only if a doctor first tries a less expensive treatment and then petitions the health plan for approval.
nytimes, 12.6.2003

Kontext 2
Patients like the centers [urgent-care centers] for their convenience and affordable cost.... The $15 copayment is equal to what she would dish out at her pediatrician's office...
USNWR10.09.01

Kontext 1
In most countries, public finance, whether from taxes or from social insurance, is likely to predominate in health care; but it need not obstruct private insurance or some out-of-pocket spending, which can be useful safety valves, especially for people in rich countries who wish to spend more than their governments would.
ECON, 24.06.2000

Definition 1
Short for "copayment," the flat fee you pay the doctor, hospital or pharmacy for use of their services under a managed-care plan. For example, rather than paying the full cost of the prescription, you pay $5 for any prescription you get. Or rather than paying the entire emergency-room bill, you pay $50 every time you go.
healthtermsGL

Kontext 1
Union officials also point to a note that authorizes health insurers to make employees pay "up to 20%" of medical bills.
WSTJ, 10.02.2000

Definition 1
Payment of a fixed percentage of the total charge (i.e., 20%, 30%, etc.).
careGL

Definition 2
The percentage of costs of medical care that a patient pays out of pocket. Coinsurance is most commonly found in indemnity, fee-for-service insurance and the PPO market. Its absence in the HMO arena is one of the strong marketing appeals of HMOs.
healthcareGL

Definition 1
The total amount paid each year by the member for the deductible and coinsurance. After reaching the out-of-pocket maximum, the plan pays 100% of the allowable charges for covered services for the rest of that calendar year.
healthcareGL

Definition 1
a fixed dollar amount members must pay annually before their coverage begins (applies only to self-referred care or services from non-network providers)
careGL

Definition 2
The annual amount a member must pay before the plan begins to pay benefits.
healthcareGL

Kontext 1
Medicare consists of two components--Part A, or Hospital Insurance (HI), and Part B, or Supplemental Medical Insurance (SMI). HI pays for hospital care for up to 90 days for each spell of illness, plus an additional 60 lifetime reserve days of hospitalization that each beneficiary can use once. Medicare recipients must pay a deductible of $760, a $190 coinsurance fee after the first 60 days of care, and a $380 coinsurance fee for each of the lifetime reserve days. The deductible and coinsurance fees are indexed to increase with health costs each year. HI also pays for up to 100 days of care in a skilled nursing facility after hospital discharge and hospice care.
MedicareAnalysis