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Maybe, you would have to check the benefits on both policies. for more info see

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โˆ™ 2005-03-03 08:44:46
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Q: With dual medical coverage are there any out of the pocket expenses for the patient such as copays?
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What are the benefits of Atena health insurance?

Aetna Health Insurance offers the benefits of medical health insurance for coverage of almost every medical condition. It also offers discount prescriptions and low copays depending on your plan.

What sort of insurance coverage can you get from bluecross?

Consumers can find various types of coverage from Blue Cross Blue Shield. They offer standard and basic packages that deliver different copays and monthly fees.

How is adjusted gross income figured for IRS form used for medical expenses?

You adjusted gross income is figured the same way no matter what. When filing Schedule A of your return you will deduct either 7.5% or 10% of your adjusted gross income from your medical expenses depending on your age. You also have to deduct anything paid by your insurance. This only leaves the amount you paid out of pocket for deductibles, copays, and your percentage you actually paid after your deductible.

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Summary of Benefits and Coverage, copays, deductibles, and interest rates should be compared when considering an insurance company.

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Medicare C (Medicare Advantage or Medigap) is private insurance that you choose and pay for, to cover expenses not covered by Medicare A & B, such as copays, deductibles etc.

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medicare replacement- aka as MAPD medicare advantage prescription drug plan. is a policy where private insurance is primary, you usually have a network and copays and drug coverage is included in the policy

What is Supplemental Medical Insurance?

Supplemental Medical Insurance is in addition to your primary insurance. It is used to help cover the cost of copays, deductibles, and co-insurance. The most common time of SMI is Medicare Supplement Plan. It helps to cover what the medicare plan doesn't. If a person were to have Medicare Part A & B and also and AARP Supplement plan, it covers their copays for benefits and helps with covering costs of prescriptions.

What is included in the Humana Gold Plus HMO plan?

Humana Gold Plus HMO plans include all original medicare benefits. Also, it is a fixed cost plan and is more pridictable than basic Medicare. Humana Gold Plus HMO has predictible expenses such as fixed copays and precription drug coverage. In addition most yearly and well exams are covered at no cost.

Are doctors allowedto collect copays before seeing patients?


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.

Is primary insurance copays covered under secondary insurance?

Depending on your coverage, your primary insurance will cover 80% of your charges, minus your deductible (if not already met). Your secondary insurance will pick up the remaining 20% co-insurance and your co-pay, if you have one.

Will medicare pay for pregnancy if disabled and on medicare?

Yes. You still have your normal deductibles and copays.

How do health insurance copays work?

A co-pay is a flat payment that is the responsibility of the patient that is assessed to an event; such as a doctor visit or a prescription purchase. Similare to a is typically a calendar year responsibility of the patient; such as 20% or 30% that is paid by the patient after meeting a deductible (if applicable). There is usually a maximum out-of-pocket limit, such as $1,000, $2,000 or higher that is the most a member can pay prior to the plan paying 100% during a calendar or benefit year. Copays do not always count toward the out-of-pocket limit. Example of how a co-pay event might work.... Patient visits doctor for cold. Patient pays $20 co-pay at time of visit.Doctor bills insurance $100 for "sticker price" of the visit and $20 for labwork.Because the doctor is a contracted "in-network" provider, the insurance carrier only allows $65 to be charged for the office visit. Since $20 has already been paid by the patient, they send a payment to the doctor of $45. The insurance carrier determines that the $30 is subject to coinsurance and pays 80% and determines that the patient is responsible for the other 20% - or $4. The patient would ultimately receive a bill from the doctor for $4.

You need information on how copays effect primary and secondary insurance If you pay your copay on primary does that off set your copay on secondary and would secondary pay remaining portion of bill?

I don't quite understand your question. Check this link for links to explanations of dual coverage. Have you read the applicable provisions in your policies?

Does Medicare pay patients copays?

No; however, Medicaid will cover co-pays/deductibles for Medicare beneficiaries who have extremely limited resources.

What should I know before purchasing health insurance for a small business?

If you get discounts for more employees added and if you as employer need to make copays.

How much does it cost for a visit to a pediatrician?

If you have insurance, copays are usually 10 to 30 dollars a visit. Regular price can be around 100 dollars or more.

Do co-pays count toward health plan deductibles?

It depends on the insurance policy. For most plans, copays do not count towards the deductible.

What is a basic package of health care?

A basic package includes a percentage of coinsurance for additional costs. There are also copays of various amounts, depending on the type of care.

Does secondary insurance cover or pay copays of primary insurance?

The secondary insurance cover both pays and co-pays of the primary insurance depending with the insurance company.

Where do you get supplemental insurance to cover having a baby?

Most, if not all, major medical policies or HMO plans provide for maternity benefits unless the insured opts to exclude them. Such inclusion is often called for by so-called "mandated benefit" statutes implemented by state legislatures. "Supplemental insurance" is a term often used to describe a separate kind of policy (not a "major medical" policy) that provides specific benefits to cover a per diem amount and other out of pocket costs that may not be covered by (or cracks in) the major medical policy (such as deductibles and copays). Often, people take out a supplemental policy through work and have premiums deducted from payroll. Often, the benefits may be ised for whatever the insured wishes. There are a host of insurers that offer supplemental policies of various sorts--often offered by Independent Insurance Agents. One of the biggest writers of supplemental coverage is AFLAC.

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What is super bill or charge sheet in medical billing?

A superbill is a form created by an office or by providers(s) with the patient's information they are seeing, the most common CPT/ICD and HCPCS codes used by their office, and an update section for items such as follow up appointments, copays due or paid and the provider's signature. This is used by medical practitioners and clinicians so they can quickly complete and submit the procedure(s) and diagnosis(s) to a billing person or department or to an employer for reimbursement and track each patient's visit.