Do I have to pay my full deductible before regular doctor visits are covered?
The difference between copays and services subject to a plan deductible.
Not necessarily. Many marketplace health plans feature "pre-deductible services."
This means for common services like routine primary care visits, specialist consultations, or generic prescriptions, you only have to pay a flat, set copay from day one. The multi-thousand-dollar deductible typically applies to major procedures, hospitalizations, and advanced imaging.