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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.
AnswerUsually one of the insurances because one of them is overpaying. If you can't convince them to take it (there can be two primaries rarely) then it would go to the patient. Even then its better to send it back to insurance and make them pay the patient themselves. That way they can't come after you years later for the refund you already sent to the patient.
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.
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.
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 $12.00 of it. This is highly unlikely, though.
It depends on the state you live in. In some states you can have two group insurances (such as what you get at your job) and one individual plan you pay for yourself. Some children end up with two or three plans because their parents and step-parents have them on their plans.
yes some insurances make that option available to pay online
YOu have to pay the balance of what the insurance companies do not pay.
A non physician office will accept a copay in cash, check or card. Not every office will accept all three. It is best to consult with them before going in to pay.
It depends on what other cost-sharing practices the insurance company uses. If the only thing you will ever be responsible for is a co-pay, than it is excellent insurance as most insurances require that you meet a 500-2000 dollar deductible before they will pay anything. So-if you do not have to pay a copay up front but will be responsible for the entire bill to meet your deductible, it would be better to pay a 35$ 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
Office Visits - $20 copay Whenever you go to see your regular doctor you are required to pay a $20 copay.
Well Yeah ... Anyone can be perscribe a medication.. insurance is just there to make it cheaper for the patient.. So lets say you don't have insurance... you would then pay the full amount for the prescription instead of a copay or 20% percent of the full price.