Depends on your insurance weather or not you have it also the hospital itself. Best thing to do is call the hospital billing department or your insurance company to find out
YES
Please put your question in a complete question so it can be answered more easily. Do you want to know if insurance will pay for a visit to the emergency room? If so you could put that in your question.
Only if it is considered medically necessary or if it is for an emergency room visit.
Medicaid will pay the copay only if the amount of the copay added to whatever the primary insurance paid is less than or equal to what Medicaid would allow for that charge to begin with. Like charge of $50 for a visit, and the copay is $10 and the primary insurance paid $3 and Medicaid allows $15 for that particular code. Then Medicaid would pay $12.00 of it. This is highly unlikely, though.
Yes. The appropriate process should involve billing a 99211, or nursing visit. Any time a 99XXX code is used, a copay is withheld from the insurance payment, which must be paid by the patient.
Give an example of the differing co-pays from different types of visits within a health insurance plan, i.e. doctor's office visit co-pay? visit to the emergency room?
The small fee that is paid at the time of the office visit is called a copay. The copay amount, usually $15.00 to $30.00 depending on your plan, is all that you pay for the cost of the office visit. Coinsurance is a percentage of a larger hospital medical bill that you pay after you meet your deductible. For instance, if you have a "80/20" plan, with a $1000.00 deductible you are responsible for the first $1000.00 of the bill. Then the insurance company pays 80% of the bill and you pay 20% of the bill. The 20% is your coinsurance.
Yes, most people on Medicare will need to pay a copay in order to go to physical therapy appointments. This is considered to be a specialist. If you have other health insurance outside of Medicare, this may cover the copay amount.
Why would you go the emergency room for the delivery of a baby?
A non physician office will accept a copay in cash, check or card. Not every office will accept all three. It is best to consult with them before going in to pay.
Office Visits - $20 copay Whenever you go to see your regular doctor you are required to pay a $20 copay.
It depends on what other cost-sharing practices the insurance company uses. If the only thing you will ever be responsible for is a co-pay, than it is excellent insurance as most insurances require that you meet a 500-2000 dollar deductible before they will pay anything. So-if you do not have to pay a copay up front but will be responsible for the entire bill to meet your deductible, it would be better to pay a 35$ copay up front everytime you go. Example: you go to the doctors 4 times a year at $200 for every visit Company A- 40 dollar copay for office visit, no deductible, then 100% after ded Company B- No copay, 500 dollar deductible, then 100%. Company A Cost- 40*4=160 Comapny B Cost- 200*4-= 800 you pay 500 insurance pays 300