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Co-Payment Coverage – What Expats Need to Know

Understand how shared medical costs affect your coverage abroad.

When reviewing international health insurance plans, many expatriates come across the term “co-payment” or “co-pay.” But what does it actually mean—and how does it impact your healthcare expenses?

 

At InterExpat, we help expats in Singapore and beyond understand how co-payments work, and how to choose a plan that fits both your medical needs and your budget.

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What Is a Co-Payment?

A co-payment is a fixed percentage or amount you pay out of pocket each time you use a covered healthcare service. The insurer pays the rest.

For example:

  • Your outpatient consultation costs S$100

  • Your plan includes a 20% co-payment

  • You pay S$20, and the insurer pays the remaining S$80

 

Co-payments can apply to:

  • Doctor visits

  • Specialist consultations

  • Prescription drugs

  • Diagnostic tests or physiotherapy sessions

Why Some Plans Include Co-Payments

Insurers offer co-payment models to:

  • Help lower your premium

  • Encourage responsible use of medical services

  • Allow you to access comprehensive coverage at a better rate

 

Some expats prefer this model because it keeps premiums more affordable while still covering major expenses.

Important Considerations for Expats

Before choosing a plan with co-payment, ask:

  • Is there a maximum out-of-pocket limit per year?

  • Does the co-pay apply to all treatments or only outpatient care?

  • Can I remove or reduce the co-pay by paying a higher premium?

  • Are emergency or hospitalisation services exempt?

 

Some international plans (e.g., April International or Now Health) allow you to customise your co-payment settings when enrolling.

Smart Use of Co-Payment Coverage

Co-payment coverage is ideal for:

  • Young professionals who need basic care

  • Families managing routine doctor visits and prescriptions

  • Healthy expats who want to reduce premiums but stay protected

 

If you have frequent medical needs or prefer full reimbursement, consider a no co-pay option instead.

Let’s Choose the Right Plan for You

Not sure how much co-payment makes sense for your situation? We’ll help you compare co-pay vs. full-cover plans and choose what’s right.

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"Deductibles are the amount you pay before insurance kicks in, while co-payments require you to share part of the cost. Low premiums often mean high deductibles - know what you’ll pay out of pocket before choosing a plan."

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