What would you like to do?
You need information on how copays effect primary and secondary insurance If you pay your copay on primary does that off set your copay on secondary and would secondary pay remaining portion of bill?
I don't quite understand your question. Check this link http://www.steveshorr.com/technical_questions.htm#Primary for links to explanations of dual coverage. Have you read the applicable provisions in your policies?
39 people found this useful
Was this answer useful?
Thanks for the feedback!
If you have a copay with your primary insurance but also have secondary insurance do you have to pay the copay before treatment?
%DETAILS% Depends on the doctors office billing procedures. For more details visit www.SteveShorr.com yes, your secondary insurance should cover this… amount if you have reached your deductible with them. Normally, if the primary insurance applies a deductible or co-insurance/co-pay and you have not met your deductible on your secondary policy, depending on your policy they may apply the remaining balance to your deductible. Normally after the deductible is met on the secondary ins. they pay 100% of your remaining balance.
Answer The amount that the policy holder pays on each claim. Either a set amount like $10 for a MD visit or a percentage like 20%. The next question you might ask is - …what if I have a $1,000,000 claim, do I have to pay $200,000. No, most policies have an "out of pocket maximum" of $2,000 to $5,000.
If the primary charges a 200 copay the secondary pays nothing do you owe the 200 copay on the primary if secondary states 0 owed by patient Where can you find this info?
Answer This does not sound like an auto policy, is this medical? If so, you are responsible for the copay. I would contact your benefits administrator.
Depending on your coverage, your primary insurance will cover 80% of your charges, minus your deductible (if not already met). Your secondary insurance will pick up the remain…ing 20% co-insurance and your co-pay, if you have one.
If secondary insurance denies coverage, YOU get to pay the bill.
WHEN MEDICARE IS PRIMARY, THE PATIENT IS RESPONSIBLE FOR THE SECONDARY COPAY.
Will a secondary insurance pay a portion or all of a prescription that a primary insurance will only pay part of because they will only pay for a lower dosage?
In most cases a secondary insurance would compensate coverage were the primary insurance does not. Exceptions apply to the prescription drug type and coverage limitations.…
You have Medicare as primary insurance and BCBS as secondary insurance Do you pay the copay on the secondary insurance?
The answer to this question depends on what kind of secondary insurance you have - is it a group health plan? Is it a supplement? If Medicare is primary, there are still… deductibles, copays, coinsurance that would need to be satisfied by your secondary insurance. Based on your question, I'm assuming that you have a group health plan with a copayment as your secondary insurance. If so, then yes, you would pay your copayment but it would not exceed the part B deductible.
A copay is a small fixed amount required by a health insurer to be paid by the insured for each outpatient visit or drug prescription.
No, Not at all....
A copay is a "set" dollar amount you pay at the time of treatment. For instance, a $35 doctor copay. If you have level one doctor visits, you pay nothing more than the $…35 doctor copay. Co-insurance is the percentage you share with the insurance company after your deductible has been met. When you have two policies - your primary insurance will pay first (subject to deductible and co-insurance), and then your second policy starts with the balance left from the primary policy (subject to deductible and co-insurance again). For instance a primary policy with a 5,000 deductible and 80/20 co-insurance of $5000. Your bill for surgery is 6000. You pay 5,000 + 20% of $5000 (1000) = $6000.00 Your balance of your surgery bill is 0
When you have a primary and secondary insurance will the co-pay from your primary insurance be paid by the secondary insurance?
I have insurance paid for by my employer (primary) and through my husband's employer (secondary). In my experience, I have never had to pay the copay required by my prim…ary because it is covered by my secondary. When I first got married, 2 years ago, I still paid the copay, but the doctor's office would always send me a check for the copay a month later because the secondary paid it.
A supplemental or an indemnity policy will work in conjunction with your Major Medical policy, you may have to file the claims yourself though. The best place to look for an i…ndemnity for good overall coverage is Homeland Healthcare.
Some will. Check with the secondary insurer.
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.
Your secondary insurance may not cover a pharmacy copay because it is not viewed as necessary or has not been approved. This is usually associated with premium medications or …those which have a preferred drug over the prescribed medication.