Physical Therapy and Medigap Plan N

Jan 5, 2016

  1. saintstigers
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    saintstigers Guru

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    If a client has the Plan N and has to undergo physical therapy visits. The Plan N should take care of the cost of the visits. It wouldn't be a $20 copay each visit right?
     
  2. goillini52
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    goillini52 MAGA...Eat More Bacon & BUILD THAT WALL!!!

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    Correct...as long as it's not an office call.
     
  3. wehotex
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    So you mean $0 copayments?f
     
    wehotex, Jan 5, 2016
    #3
  4. G.Gordon
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    G.Gordon Guru

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    I've seen both ways. Clients that have had a $20 per visit and those that have $0. If it is an official "office visit" then sure enough $20.
     
  5. cadylou
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    cadylou Guru

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    All depends on how it's coded. There was an issue with this when Plan N first came out & I called the carrier & they told me specific billing codes to use that wouldn't result in the "office copay" being applied. . . .They need to watch their bills and/or ask in advance & spoon feed the proper billing codes if necessary.
     
    cadylou, Jan 5, 2016
    #5
  6. somarco
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    somarco That Medicare Expert Guy

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  7. MBSC
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    MBSC Expert

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    From a previous thread on this subject:
    Reference: http://www.insurance-forums.net/for...lan-n-physical-therapy-t70526.html#post927618
     
    MBSC, Jan 6, 2016
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  8. WCMason
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    WCMason Guru

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    So true. I had an upset Plan N client wanting out due to $20 copays on every chiropractic session. Instead the knucklehead biller was persuaded to submit the claims correctly. Copays vanished.
     
    WCMason, Jan 6, 2016
    #8
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