0
That's illegal
Wiki User
∙ 13y ago
Add your answer:
Earn +20 pts
If you have a copay with your primary insurance but also have secondary insurance do you have to pay the copay before treatment?
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.
What is the difference between copay and coinsurance when you have primary and secondary insurance?
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) = $6000.00 Your balance of your surgery bill is 0
If the non custodial parent is ordered to pay medical insurance for the child does that include the copay and deductible?
That's a good attorney question, but I would not think so. Copay and deductable would be medical expenses, not medical insurance.
Would an individual prefer insurance with a copayment verses insurance without a copayment?
It depends on what other cost-sharing practices the insurance company uses. If the only thing you will ever be responsible for is a co-pay, than it is excellent insurance as most insurances require that you meet a 500-2000 dollar deductible before they will pay anything. So-if you do not have to pay a copay up front but will be responsible for the entire bill to meet your deductible, it would be better to pay a 35$ 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
What is Amount payable by insurance company for insurance?
This is the amount paid by the insurance company to the doctor. It is the negotiated rate less the amount that you paid in the form of a copay, a coinsurance, or a deductible.
In what situation do people have to make copay?
The copay amount is the different between what the cost of the medical procedure is and what the insurance will cover. Some HMO's have standard copay fees for doctors office visits, other do not. Prescription insurance plans will also have a copay amount, again to cover the cost difference between what the insurance company will pay versus the price of the medication.
Does co-insurance refers to a fixed fee that must be paid by the patient at time of office visit?
No; this is a copayment (or "copay"). A co-insurance is a percentage that the insured is responsible for after meeting their deductible.
If you have the same insurance for your primary and secondary can you still end up with a balance you owe?
Having the same insurance company twice, as a primary and secondary, means you are paying twice for the same insurance policy. They probably will not cover the same thing twice, or they may treat it as two different policies and may treat it that way. If they were two different policies, The primary would deal with any deductible and copay before fulfilling its contractual obligation and so would the secondary policy depending on the wording of the contract. Unless there is no deductible and copay, or if one policy covers the deductible/copy of the other, there will still be a balance you owe. There is also the situation where your medical provider will not accept or fully participate in your insurance policy, in which case you may owe the difference between the doctors bling amount and what was paid by the insurance(s).
What products can be purchased from Humana One insurance?
Humana One do a range of health insurance plans including short term medical plans, health savings accounts, after deductible health plans and Copay plans.
What does 30 copay for the first 3 visits per member per year deductible waived mean?
It means that the normal $30 copay per visit is waived (you don't have to pay for it) for the first 3 visits per member on the insurance policy each year. Also you don't have to worry about meeting the deductible first because it is waived for those visits.
What are out of pocket expenses for a blood draw?
Out of pocket (OOP) is the amount your insurance requires you to meet with your copay percentage. With most insurances you have a deductible, say $500. You have to pay this before the insurance will cover any of the medical cost. Once the deductible is met, depending on you insurance coverage, you will most likely have a copay. This is usually 80/20 meaning the insurance will pay for 80% of the cost and you are responsible for 20% until you meet your out of pocket which will vary in amount depending on you insurance coverage. I.E. Say your blood work cost $100 and you've already met your $500 deductible but you still have $300 to meet on your $1,000 out of pocket, you would be responsible for 20% of the $100 cost or to make it easier you would still pay $20. Hope this helps you better understand your insurance.
What insurance plans in Illinois offer the best reimbursement for lab work?
Most comprehensive PPO network health insurance plans offer preventative services that will pay for yearly checkups and labwork associated with them. When choosing a health insurance policy that offers doctors office visits for a copay fee, you have to look at the provisions for lab work. Most plans pay for the first 200-500 dollars of labwork and then it reverts to your deductible.
