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Copayments

Copayments or copays are the money that you pay to get care from your provider. We keep track of the money that you spend on copays each quarter. And we make sure that you’re not overcharged. We’ll refund any extra money if your family reaches their limit for the quarter.

Copay exceptions

You pay $0 in copays for:

 

  • Services for foster children

  • Services for children enrolled in Medicaid

  • Services for pregnant women (includes a 60-day period after pregnancy ends)

  • Services for Kentucky Medicaid beneficiaries who have reached their cost-sharing limit for the quarter (5% of the family’s total income per quarter)

  • Individuals receiving hospice care

  • Emergency services

  • Some family planning services 

  • Preventive services

What are my benefits?