How copayments work

Copayment is the amount per medical procedure or service which the policyholder and/or insured has to pay to use any of the services in the medical provider network. If you have a policy with copayments, you can check the schedule for details about each one or refer to the table below:

Óptima Familiar S

Óptima Familiar M

Óptima Familiar L

Covers included

Primary care appointments (general medicine and paediatrics)

€3 €6 €15

Specialist appointments

€5 €10 €20

Emergencies

€20 €40 €50

Nursing and physiotherapy sessions

€2 €6 €10

Complex diagnostic tests (MRI, CT scans, etc.)

€20 €40 €50

Preventive healthcare programmes

€20 €40 €50

Special treatments

€20 €40 €50

Other diagnostic tests and medical procedures or services

€5 €10 €20

Annual limit per insured and year

No limit €250 €450

Óptima Smart

Copayments in corporate health insurance

Complet Group standard copayments

Complet Group flat copayments

Covers included

Primary care appointments (general medicine and paediatrics)

€3 €2

Specialist appointments

€5 €2

Emergencies

€20 €2

Nursing and physiotherapy sessions

€2 €2

Complex diagnostic tests

€20 €2

Other diagnostic tests

€5 €2

Special treatments

€20 €2

Other medical procedures or services

€5 €2

The terms set out on this website are subject to the terms and conditions and schedule of these policies and the insurance option taken out. The contract must also be current in payment.  

 

 

Legal and regulatory information: AXA Seguros Generales S.A. de Seguros y Reaseguros, registered address Calle Monseñor Palmer nº 1, 07014 Palma de Mallorca, is listed in the Directorate General of Insurance and Pension Funds (DGSFP) Administrative Register of Insurers under code C0723. Purchase of the insurance products offered on this website, including Electric Scooter Insurance (Scooter360), is subject to the terms and conditions and schedule in force at the time the policy is issued.