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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.
What else can I help you with?
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.
Does copay assistance contribute towards the out-of-pocket maximum?
Yes, copay assistance can contribute towards the out-of-pocket maximum, but it depends on the specific terms of the insurance plan and the copay assistance program.
What is the copay amount after reaching the out of pocket maximum?
The copay amount is typically 0 after reaching the out-of-pocket maximum.
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)
Do I still need to pay a copay after reaching my out-of-pocket maximum?
After reaching your out-of-pocket maximum, you typically do not need to pay a copay for covered services.
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 have a Medicaid copay if you have medicare primary?
No, Not at all....
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.
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.
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
