Skip navigation
Three children of different ethnic backgrounds smiling at the camera

Sub-navKidzPartners

KidzPartners
print

Copay Information

Some services require a copayment (copay) that you pay directly to the provider each time your child receives care. Copay amounts depend on if your child is part of the free, low-cost or full-cost KidzPartners premium category.

There are no copays for preventive care services, including well-child visits and visits for immunizations, for all KidzPartners members.

Copays for Services

There are no copays for any services for any members enrolled in the free program. If your child qualifies for the low-cost premium category, the maximum you will pay for copays annually is 5% of your family income.

Please review the copay amounts in the table below.

Type of Service

Free

Low-Cost

Full-Cost

 

PCP visits
(sick care) 

$0 

$5 

$15

 

Specialist visits 

$0 

$5

$15

 

Emergency Room (waived, if admitted)

$0 

$25 

$50

 

Prescriptions (Generic/Brand) 

$0 

$6/$9 

$10/$18

 

Mental Health/
Substance Abuse outpatient visits 

$0 

$0 

$0

 

Questions?

If you have any questions about copays, call Member Relations at 1-888-888-1211 (TTY 1-877-454-8477) at any time.