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When an insurance plan copayment is requiredwho pays it?

Updated: 8/21/2019
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Q: When an insurance plan copayment is requiredwho pays it?
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You have Medicare as primary insurance and BCBS as secondary insurance Do you pay the copay on the secondary insurance?

The answer to this question depends on what kind of secondary insurance you have - is it a group health plan? Is it a supplement? If Medicare is primary, there are still deductibles, copays, coinsurance that would need to be satisfied by your secondary insurance. Based on your question, I'm assuming that you have a group health plan with a copayment as your secondary insurance. If so, then yes, you would pay your copayment but it would not exceed the part B deductible.


What is the correct procedure to collect a copayment on a managed care plan?

Collect the copayment when the patient arrives for the office visit


What is the difference between health insurance and a medical plan?

They're basically the same thing. Health insurance is an insurance plan that pays medical bills.


What is the difference between health insurance and health plan?

They're basically the same thing. Health insurance is an insurance plan that pays medical bills.


Who is an insurance subscriber?

An insurance subscriber is the person who subscribes to the insurance, or in other terms an insurance subscriber is the policyholder who pays for a specific insurance plan.


Who is an insured?

An insurance subscriber is the person who subscribes to the insurance, or in other terms an insurance subscriber is the policyholder who pays for a specific insurance plan.


Does medigap have a copay?

For Doctor Visits you Medigap Co-Insurance (out of pocket) varies depending on which Medigap Plan you carry. Medigap Plan F carries the most coverage options.Part B Co-Insurance with Medigap PlansMedigap Plan A, Plan B, Plan C, Plan D, Plan F, Plan G, Plan M pays 100% of your Part B co-insurance while Medigap Plan K pays for 50%, Medigap Plan L pays 75%.Part B Deductible with Medigap PlansMedigap Plan C and Plan F pays for your Part B deductible of $147Part B Excess with Medigap PlansMedigap Plan F and Plan G pays 100% your Part B excess


When a medical plan provider or insurance carrier pays your medical office what will it send?

EOB


What is indemnity health insurance plan what are the disadvantage?

An indemnity health insurance plan is traditional health plan that pays all or part of a persons medical bills. A disadvantage of this type of insurance plan is that it can be very expensive. Another disadvantage is that the individual has to submit all the paperwork to the insurance company.


What is the term used to describe the periodic amount of money the insurer pays to a health plan for insurance coverage?

Capitation.


What are the benefits of your wife and you carrying each other on your health insurance through work?

Usually you can claim through each plan. For example: You need a perscription. It cost x dollars. You claim through your plan first as it is for you. Your plan pays x % back to you. You then claim the difference through your spouses plan and their plan pays x %.


Can you have Medicaid and a personal health insurance plan?

Yes, you can have both Medicaid and a private health insurance plan. The Medicaid plan will pay after your private plan pays. This means that your doctor (or hospital or other service provider) will bill your private plan first; then they will send the private plan's explanation of benefits (called an "EOB") to Medicaid.