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What happens if primary insurance is PPO and secondary insurance is HMO?
Wiki User
∙ 14y ago
When a DPPO is primary coverage, the charges paid by the patient are based on the agreed DPPO discounted fees--not the DHMO schedule of charges. The dentist would bill the DPPO for the procedures performed. If the dentist is in the DHMO network, he or she would also get his or her regular capitation payment for that patient.
Wiki User
∙ 14y ago
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Can a dental office bill a secondary insurance company after the primary HMO lists the service as no charge?
Why not? What are the terms of the 2nd Insurance?
Who can apply for HMO insurance?
Anyone who can afford the payments can apply for HMO insurance. Many people can apply for HMO insurance through their employer. People can even get HMO insurance themselves and be self-insured.
What type of insurance is HmO?
Health insurance. HMO = Health Maintenance Organization.
Which type of medical insurance typically offers the least amount of flexibility in selecting a primary care physician?
HMO
How does an HMO health insuance plan work?
"An HMO health insurance plan requires you to choose a primary care provider from doctors within your network. You will see this doctor for typical health issues. If you need to see a specialist of any kind, you must receive a referral from your primary care doctor to be covered by insurance."
Our practice is considering not filing secondary insurance claims. Are there consequences to the practice?
Yes, if you are contracted with the secondary payor, PPO contract, HMO contract, etc, you are bound by your contract to bill the plan
Can you see a private doctor if you have private insurance HMO Blue as primary and mass health as secondary my physician of 20y would no longer see me once I got Mass Health.?
Medical providers are not required to take patients, regardless of the type of coverage.
How do you bill secondary Medicaid when Medicare is with an HMO?
You submit an EOB from the Medicare HMO with your Medicaid claim.
What kind of insurances does Securehorizons offer?
Secure Horizons offers medical insurance for Medicare. You can chose from Medicare Advantage which is similar to an HMO or Medicare Supplemental which will cover what your primary insurance will not.
What is hmo medical insurance?
There are several policies that you can purchase an hmo policy from; this is a supplemental insurance polciy that you will get to cover the entire rates.
Does everyone need HMO insurance?
No everyone does not need HMO insurance. Wellness letter has some great advice on healthcare. Insurance is important with the high cost of visits.
What kind of services are provided by the Aetna HMO?
Aetna HMO provides insurance services. Some examples of insurance services available through Aetna HMO include Dental, Health and Medical insurance. You can learn more at the Aetna website.
