0 a fixed cost for a service paid by someone who has insurance (= an agreement that a company will pay certain costs for health care, etc.) each time they use that service. This system is used in the US, Germany, and some other countries:
There is a tiered copay system, in which patients pay $10 for generic prescriptions, $25 for preferred brand-name drugs and $40 for brand name drugs with a generic alternative.
The children would have free MinnesotaCare coverage for a year, but parents would have to make $5 copayments per visit.