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== == According to one insurance company, the term "variable copay" has to do more with where services are rendered rather than by whom. Many doctors are able to practice at more than one hospital or more than one type of facility. The contracts each particular doctor has with each insurance company and with each facility affects the copay. Therefore the term "variable." Let me give an example to illustrate. Dr. Jones can practice at both Baptist and at Centennial Hospitals. If, let's say, your scheduled procedure was performed at Baptist, your copay is $100. Whereas the same procedure costs $500 at Centennial because of the agreements and "contractual amounts" agreed upon between the facility and the insurance company. To avoid unexpected costs with variable co-pays: 1. Find out where your doctor can practice. 2. Call your insurance company and see if there are any variations in payments and in the amounts you will have to pay. 3. If the fee schedules are the same at all of your doctor's locations, ask if when this might change in the future, if at all. 4. Also ask what type of facilities these variable rates, if any, apply. For example, would your rates ever vary for procedures performed in your doctor's office. "Variable co-pays" seem to only pertain to hospitals, outpatient centers, specialized facilities such as rehab centers, and surgery centers, but it never hurts to be sure you have all of the information. Personally, I would avoid these types of plans because it seems to me that it gives a provider/insurance company a possible loophole. While you could appeal an insurance company's partial payment or outright denial of payment and can prove what the actual schedule fees were at the time services were rendered, I wouldn't want to go through that hassle especially at a time when I need insurance the most. The difference in savings between a variable copay and non-variable copay policies would have to be very substantial and the insurance company would have to be reputable at servicing its claims.

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โˆ™ 2008-09-01 01:28:19
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Q: What is a variable copay?
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Related Questions

What if the doctors usual charge is less than the copay can the doctor receive the full copay amount?

The doctor's charges and the copay are separate fees, of course. With that, even if the charges are less than the copay, the physician still collects the patient's copay. At anytime, the physician can waive, then write-off, the copay, but I wouldn't advise this.

If Medicare is primary who is responsible for secondary copay?


Is there copay for Medicare?


Does the word copay have to be hyphenated?

Copay is a relatively recent term. It is not hyphenated. In general, short words like this are not hyphenated.

What is the Medicare nursing home copay for 2011?

$141.50 is the copay for Medicare nursing home stays (day 21-100)

Does Medicaid have copay?

It's possible.

Do you have a Medicaid copay if you have medicare primary?


Does Medicare have a copay?

No. Patients out of pocket is limited to the annual deductible and 20% coinsurance.

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 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.

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?

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.

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.

Does a person on medicare have to pay a copay in order to go to phyical theraphy?

Yes, most people on Medicare will need to pay a copay in order to go to physical therapy appointments. This is considered to be a specialist. If you have other health insurance outside of Medicare, this may cover the copay amount.

Prefixes of co?

copilot, coworker, costar, copay

Will medicare pay my copay that i have with primary insurance?

No, Not at all....

What is the medicare nursing home copay for 2012?


What is the medicare part b copay for 2011?


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.

Can a doctor charge for a copay for a post-operative office visit?

A doctor can charge a copay any time you visit them :) did youy ever get and answer for this question, and if you did where did you find it?? please advise

Does your copay go towards your medical bill or is it just an extra charge?

Its insurance paid by the insured person each time a medical service is accessed.

What is a copay?

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.

Will Alabama medicaid pay a primary insurance copay?

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.

What is the copay for cataract surgery in medicare advantage plans?


What is copay for knee replacement?

That will depend on your health insurance coverage.

What is copay on health insurance?

A Copay is a flat dollar amount that needs to be paid to a health care provider for services rendered. There may or may not be "coinsurance" applied after this flat dollar fee is paid. A Copay varies by the health plan benefits. Typical physician office copays are $20, $30 or $35 per visit.