Medicare Advantage Copays for Physical Therapy

Discussion in 'Senior Insurance Forum' started by wehotex, Mar 4, 2015.

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  1. wehotex
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    wehotex Well-Known Member

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    The cheapest HMO plan that I market has these visits as $25 copays and then they go up to $40-50. I phoned 2 local PT places and found that a straight Medicare pt pays only $34 for first visit, and then $17 for every following visit! Is this normal in the areas where you market? I lost a prospect because he was undergoing therapy and didn't want to "mess him up". Somebody came up from behind me and put him on Humana PPO. I think that prospect is going to be surprised when he pays $50 per visit to his therapist.:D
     
  2. yorkriver1
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    yorkriver1 Well-Known Member

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    Boy, do people regret some of these moves. I sold some folks plan N and even lesser coverage Med/Supps due to reimbursement and OOP issues. They were lucky to pass underwriting.
     
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