HIP Basic Copayment Amounts
ONLY applies to HIP Basic members
| Service | HIP 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