Is an insurance policy with co-payments or without co-payments better?

When it comes to choosing between medical insurance with co-payments and without co-payments, a whole host of questions may arise. That’s why, when you’re in the process of taking out a policy, one key consideration is to understand the differences and benefits of each type so that you can choose the option that suits you best. What there is certainly no doubt about is that private medical insurance gives you access to a large medical team and allows you to avoid any waiting lists, offering efficient and high-quality medical care.


Medical insurance with or without co-payments: which one should I choose?

The difference between co-payments and no co-payments lies in the payment structure and the way in which costs are distributed over time.

Choose medical insurance without co-payments if:

  • You go to the doctor often: you won’t need to worry about additional expenses every time you need assistance.
  • You prefer to keep payments simple and stable: you will pay a fixed monthly premium, with no surprises.
  • You value peace of mind: any medical service is covered with no additional costs.
  • You need treatment for long-term or chronic issues: if you have a chronic illness or you need long-term treatment, the fixed monthly insurance fee without co-payments may be more economical and predictable.

Choose medical insurance with co-payments if:

  • You do not need frequent medical care: you can take advantage of lower premiums and only pay when you need medical assistance.
  • You want to lower your monthly expenses: you pay less because the premium for policies with co-payments is cheaper.
  • You prefer to distribute the cost: paying a small amount for each service can help you monitor annual health expenses.

What is medical insurance with co-payments and what type of policies are there?


Medical insurance with co-payments is where the individual insured pays part of the cost of the medical care each time they use the services. This payment is on top of the monthly premium. There are different types of co-payment policies:

  • Insurance policies with low co-payments: the insured individual pays just a small amount for each medical service.
  • Insurance policies with medium, limited co-payments: the insured individual pays slightly higher co-payments, but these are limited per year. Once the annual limit has been reached, the insured individual will not pay any more co-payments.

In short, insurance policies with co-payments are the perfect option for those who do not go to the doctor frequently, since they can pay a lower monthly premium. Essentially, choosing between an insurance policy with co-payments or without co-payments will impact the amount you pay monthly.

So, you can opt for an insurance policy without co-payments, where you will only pay a monthly premium, an insurance policy with low co-payments, where the premium is a little lower, or an insurance policy with medium, limited co-payments, where the premium is even more affordable than with low co-payments.  

Other items that may be covered in insurance policies

Insurance policies without co-payments can include additional coverage that you should take into consideration when choosing a policy. Here are some of the most common items covered

  • Dental cover: basic and advanced dentist services.
  • Second medical opinion: access to specialist consultants to confirm diagnoses or treatments.
  • International cover: medical care abroad.
  • Wellbeing services: health prevention and holistic health programmes.
  • Assistance at home: medical assistance at home for patients who need this for health reasons.
  • Hospitalisation and surgery: complete cover for hospital admissions and surgical procedures with no additional costs.

In conclusion, the choice between a medical insurance policy with co-payments or without co-payments depends on your health needs and your budget. Consider how often you go to the doctor, and whether you want to prioritise simplicity when it comes to payments or making a monthly saving. Taking out a health insurance policy without co-payments offers peace of mind and simplicity, whereas a policy with co-payments may be more economical if you don’t need frequent medical care.

 

Frequently asked questions

The answer to all your questions

A copayment is applied each time you use your health insurance to obtain medical services or treatments covered by it. This may include visits to the doctor, medical examinations, hospital procedures, medical prescriptions, and other health-related services. When you are seeking medical care, simply show your insurance card and you will pay a pre-set amount at that time, which is your copayment.

At Adeslas we have different types of insurance policies with copayments based on each customer’s needs:

  • Adeslas Plena with reduced copayments: With this insurance policy, reduced copayments enable you to pay a much lower amount when you receive medical care.

  • Adeslas Plena Vital with limited co-payments: With this insurance policy, you will pay a maximum annual limit of €300 in copayments.

  • Adeslas Plena Total Vital with copayments at a fixed price: With this insurance policy, you will pay the same monthly price and amount of the copayments over three years.

Yes, the Adeslas health insurance policies with and without copayments have a qualifying period to be able to enjoy certain services. These usually range from three-eight months from the entry into force of the insurance policy, depending on the service.