Language Translation
  Close Menu

HIP Basic Copayment Amounts

ONLY applies to HIP Basic members

ServiceHIP Basic Co-Payment Amounts
Outpatient services -
including office visits
$4
Inpatient services -
including hospital stays
$75
Preferred drugs$4
Non-preferred drugs$8
Non-emergency ER visit$8 for the first occurrence*

* also applies to HIP Plus