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yes and i hate it
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∙ 10y ago
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If the primary insurance allows more than the secondary insurance what would the secondary insurance pay?
Secondary insurance will not pay the claim but the remaining charges should not be billed to the member/patient. Provider of service should write off the patient responsibility that primary insurance applied.
Is a pharmacy allowed to charge you more than your copay for medication?
If you have an insurance plan, the pharmacy can charge the insurance company whatever they want to (more often than not, it's no more than the actual cost of the prescription minus your co-pay). They will not overcharge your co-pay. Your co-pay is a part of a contract between you and your insurance provider. That should be spelled out in the contract between the pharmacy and your insurance carrier. The best place to ask would be your insurer.
Will your health insurance pay for a prosthetic leg?
Ask your Health Insurance Provider
Can you sue a health insurance company for failure to pay a claim which results in damage to a credit score?
From a medical provider POV, you are ultimately responsible for your medical bills. You have the contract with the health insurance company, not the provider. Most offices bill your insurance as a courtesy, knowing they will take a writeoff. If the insurance did not pay, there was a reason given on your EOB, and it is your responsibility to find out why. Most offices are more than willing to take payments, collections is a last resort.
Can an In Network provider offer a discounted Self Pay package to a patient as an alternative if they are contracted with their insurance company?
In most cases the provider can not. The provider is obligated to bill the insurance. The reason is such transactions can lead to insurance fraud.
Will a liability insurance pay more than the max for an accident?
no
Will medical pay for a reversal on a tubal ligation?
More than likely the insurance will not pay for it.
What if you do not have uninsured motorist insurance and your car was hit while parked and the drive left the seen of the accident?
You would have to file this under your collision coverage. Depending on your insurance provider, they will list the accident as a no fault accident. More than likely, you will have to pay your deductible.
Do smokers pay more for auto insurance than non smokers?
No.
Does term life insurance pay more than the face amount?
No
What does 'out of network medical insurance' mean to the provider?
An "out of network"medical provider will not receive payment for services if not pre-authorized by a medical insurance company. It also requires the provider to agree to accept the pay scale if authorized,except in Florida where state law requires insurance companies to pay the providers fees in an emergency.
IF Patient primary insurance denied claim because provider is not contracted with them will secondary insurance pay on the claim?
yes
