Help with Copays

A copay (or coinsurance) is a cost sharing arrangement in which a member of Blue Shield pays a dollar amount, a percentage or a combination of both for a specific medical service. For example, $20 for an office visit or 30% for surgical procedures.

Copays vary by plan type and services. Refer to your Evidence of Coverage (EOC) or Certificate of Insurance (COI) for specific details.

An EOC or COI was sent to you when you first joined Blue Shield. If you need another copy:

  • Go to your Plan Summary page and download a copy or request that a copy be mailed to you (not available to all members).
  • Contact your Human Resource department for a copy if you have health care through your company.
  • Call the Member Services number on your Blue Shield ID card and request that a copy be mailed to you.