Are the fees for Apple Care paid once one or are these an annual fee?
Are the Apple care plans paid once or renewed annually?
iPhone 5s, iOS 12
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Apple Care is available as a recurring Monthly payment or a one time payment only.
How you pay for it depends on the plan you acquire.
https://www.apple.com/support/products/iphone/
The service fees are paid per event. If you need to have a device serviced and it is not completely covered, you pay that fee once for the repair.