0
What does 30 copay for the first 3 visits per member per year deductible waived mean?
Jennifersunday
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.
Wiki User
∙ 14y ago
Add your answer:
Earn +20 pts
Should doctors waive insurance copay and or deductible?
That's illegal
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
Do you charge a copay for recheck visits?
Most doctors will charge a copay for a recheck. Copayments are paid on an individual basis and normally for each visit to the doctor.
What does OV20 mean on the health insurance card?
Office Visits - $20 copay Whenever you go to see your regular doctor you are required to pay a $20 copay.
Is a copay considered a unreimbursed medical expense in a child support case If so should't a deductible be?
In most cases, a copay is un-reimbursable and the copay is un-reimbursable. It is ultimately up to the judge to decide what medical expenses are covered and not covered through the child support or custody case.
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.
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.
What does deductible on health insurance mean?
Within every health insurance policy there are "free" benefits, such as preventive care. In addition, most policies - not all - offer benefits such as a copay for office visits and even copays for precriptions benefits. Let's refer to these benefits a PRE-DEDUCTIBLE benefits. Other than whatever pre-deductible benefits are included on your policy YOU are responsible for all other medical expenses until you have spent the amount equal to your deductible. If you have a $1,500 deductible, other than your pre-deductible benefits, you would be responsible for the first $1,500 in medical expenses each calendar year. After that, the carrier will begin paying their share.
In what situation do people have to make copay?
The copay amount is the different between what the cost of the medical procedure is and what the insurance will cover. Some HMO's have standard copay fees for doctors office visits, other do not. Prescription insurance plans will also have a copay amount, again to cover the cost difference between what the insurance company will pay versus the price of the medication.
Do yOu pay a copay for recheck visits?
Yes. The appropriate process should involve billing a 99211, or nursing visit. Any time a 99XXX code is used, a copay is withheld from the insurance payment, which must be paid by the patient.
Is there copay for Medicare?
No. Patients out of pocket is limited to the annual deductible and 20% coinsurance.
Would an individual prefer insurance with a copayment verses insurance without a copayment?
It depends on what other cost-sharing practices the insurance company uses. If the only thing you will ever be responsible for is a co-pay, than it is excellent insurance as most insurances require that you meet a 500-2000 dollar deductible before they will pay anything. So-if you do not have to pay a copay up front but will be responsible for the entire bill to meet your deductible, it would be better to pay a 35$ 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
