Answer :
Final answer:
In managed care plans, the part of the charge that the patient is responsible for paying at the time of service is known as the co-pay. The insurance setup determines cost-sharing particulars, which can also include deductibles and co-insurance.
Explanation:
In managed care plans including Medicare and private insurance, the term for the part of the charge not covered by the insurance that the patient is responsible for paying at the time of service is the co-pay.
Typically, patients have a complex set of potential costs such as a deductible, which is a fixed amount that insurance does not cover before paying benefits, and cost-sharing. Cost-sharing can be in the form of co-insurance, where the patient is required to cover a percentage of costs, or a co-pay for medical visits - a predetermined fixed amount like $20 for an office visit or $250 for an emergency room visit.
The health insurance setup, whether provided by government (like in Medicare Parts A & B) or a private insurer, determines the cost-sharing specifics.
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