Over 150.000 insurance professionals and consumers come to the Insurance Forum every month. Click here to register for FREE

Go Back   Insurance Forum > Insurance Agents and Brokers Forum > Senior Insurance Forum
Register NOW - It's Free !!! Forum Rules Today's Posts

Reply to Plan N-No $20 Copay on Physical Therapy     
Old 09-24-2010, 12:04 PM   #1
Guru
insurance0707 on Plan N-No $20 Copay on Physical Therapy - Insurance Forum
 
Join Date: Apr 2007
Posts:1,203
State: insurance0707 is an Insurance Agent from Undisclosed Location
insurance0707 is a member of 1000 posts VIP club
Plan N-No $20 Copay on Physical Therapy Plan N-No $20 Copay on Physical Therapy
I called both United of Omaha & AARP regarding Plan N and they both told me that physical therapy does not have a $20 copay. It has a different code # when billed. It's not billed as an office call but under physcial therapy. Medicare pays 80% and Plan N will pick up the other 20%
------------------------------------
  Reply With Quote to Plan N-No $20 Copay on Physical Therapy
Old 09-24-2010, 12:14 PM   #2
DS4
Guru
DS4 on Plan N-No $20 Copay on Physical Therapy - Insurance Forum
 
Join Date: Oct 2009
Posts:3,061
State: DS4 is an Insurance Agent from California
DS4 is a member of 1000 posts VIP club
Plan N-No $20 Copay on Physical Therapy Re: Plan N-No $20 Copay on Physical Therapy
The office visit co pay applies to "office visits". An office visit consists of, health history, exam and diagnosis.
A trip to a physical therapist usually only involves "treatment".
The CPT billing codes will determine if the "office visit" co pay applies.

------------------------------------
D. Dayton Sayer IV
Dayton Sayer Insurance Agency, Inc.

"The most valuable commodity I know of is information" Gordon Gekko
  Reply With Quote to Plan N-No $20 Copay on Physical Therapy
Old 09-24-2010, 12:55 PM   #3
Guru
insurance0707 on Plan N-No $20 Copay on Physical Therapy - Insurance Forum
 
Join Date: Apr 2007
Posts:1,203
State: insurance0707 is an Insurance Agent from Undisclosed Location
insurance0707 is a member of 1000 posts VIP club
Plan N-No $20 Copay on Physical Therapy Re: Plan N-No $20 Copay on Physical Therapy insurance0707 is the thread starter for: Plan N-No $20 Copay on Physical Therapy

so you're saying possibly that the first visit might have a 20 copay but subsequent visits would not?
------------------------------------
  Reply With Quote to Plan N-No $20 Copay on Physical Therapy
Old 09-24-2010, 12:59 PM   #4
Guru
G.Gordon on Plan N-No $20 Copay on Physical Therapy - Insurance Forum
 
Join Date: Oct 2008
Posts:2,516
State: G.Gordon is an Insurance Agent from Missouri
G.Gordon is a member of 1000 posts VIP club
Plan N-No $20 Copay on Physical Therapy Re: Plan N-No $20 Copay on Physical Therapy
What is Luke's view on this matter?

------------------------------------
No man has a good enough memory to be a successful liar.
  Reply With Quote to Plan N-No $20 Copay on Physical Therapy

Register Now for FREE!
To sign up for your FREE INSTANT account, please complete the form.

Username:
    Password:   Confirm Password:     E-Mail:   Confirm E-Mail:     
   
Question of the day:   In which state is Miami Beach ? I agree to forum rules 


Old 09-24-2010, 01:24 PM   #5
DS4
Guru
DS4 on Plan N-No $20 Copay on Physical Therapy - Insurance Forum
 
Join Date: Oct 2009
Posts:3,061
State: DS4 is an Insurance Agent from California
DS4 is a member of 1000 posts VIP club
Plan N-No $20 Copay on Physical Therapy Re: Plan N-No $20 Copay on Physical Therapy
Originally Posted by insurance0707 View Post
so you're saying possibly that the first visit might have a 20 copay but subsequent visits would not?
No.
RPT does not make a diagnosis. Therefore, CPT codes are all "treatment".
I really wish Luke would chime in.

------------------------------------
D. Dayton Sayer IV
Dayton Sayer Insurance Agency, Inc.

"The most valuable commodity I know of is information" Gordon Gekko
  Reply With Quote to Plan N-No $20 Copay on Physical Therapy
Old 09-24-2010, 04:10 PM   #6
Guru
insurance0707 on Plan N-No $20 Copay on Physical Therapy - Insurance Forum
 
Join Date: Apr 2007
Posts:1,203
State: insurance0707 is an Insurance Agent from Undisclosed Location
insurance0707 is a member of 1000 posts VIP club
Plan N-No $20 Copay on Physical Therapy Re: Plan N-No $20 Copay on Physical Therapy insurance0707 is the thread starter for: Plan N-No $20 Copay on Physical Therapy

I was just happy to hear that Physcial Therapy wouldn't be subject to the $20 copays. If a client is going 3 times a week for a couple of months, that could add up. No
one on this board seemed to know the answer to it....that's why I called AARP and United of Omaha directly
------------------------------------
  Reply With Quote to Plan N-No $20 Copay on Physical Therapy
Old 09-24-2010, 04:32 PM   #7
DS4
Guru
DS4 on Plan N-No $20 Copay on Physical Therapy - Insurance Forum
 
Join Date: Oct 2009
Posts:3,061
State: DS4 is an Insurance Agent from California
DS4 is a member of 1000 posts VIP club
Plan N-No $20 Copay on Physical Therapy Re: Plan N-No $20 Copay on Physical Therapy
Originally Posted by insurance0707 View Post
I was just happy to hear that Physcial Therapy wouldn't be subject to the $20 copays.

Your client will also be Happy to pay the $155 Part B deductible.

------------------------------------
D. Dayton Sayer IV
Dayton Sayer Insurance Agency, Inc.

"The most valuable commodity I know of is information" Gordon Gekko
  Reply With Quote to Plan N-No $20 Copay on Physical Therapy
Old 09-24-2010, 05:34 PM   #8
luke4275
 
Posts:n/a
State: luke4275 is an Insurance Agent from
Plan N-No $20 Copay on Physical Therapy Re: Plan N-No $20 Copay on Physical Therapy
Considering I didn't know what the part A ded was last week, I go with whatever Rick says
------------------------------------
  Reply With Quote to Plan N-No $20 Copay on Physical Therapy
Old 09-24-2010, 06:22 PM   #9
Guru
insurance0707 on Plan N-No $20 Copay on Physical Therapy - Insurance Forum
 
Join Date: Apr 2007
Posts:1,203
State: insurance0707 is an Insurance Agent from Undisclosed Location
insurance0707 is a member of 1000 posts VIP club
Plan N-No $20 Copay on Physical Therapy Re: Plan N-No $20 Copay on Physical Therapy insurance0707 is the thread starter for: Plan N-No $20 Copay on Physical Therapy

Originally Posted by DS4 View Post
Your client will also be Happy to pay the $155 Part B deductible.
They pay the $155 Part B deductible under Plan G also...what's your point

Do you only sell Plan F?????
------------------------------------
  Reply With Quote to Plan N-No $20 Copay on Physical Therapy
Old 09-24-2010, 08:49 PM   #10
DS4
Guru
DS4 on Plan N-No $20 Copay on Physical Therapy - Insurance Forum
 
Join Date: Oct 2009
Posts:3,061
State: DS4 is an Insurance Agent from California
DS4 is a member of 1000 posts VIP club
Plan N-No $20 Copay on Physical Therapy Re: Plan N-No $20 Copay on Physical Therapy
Originally Posted by insurance0707 View Post
Do you only sell Plan F?????
Yes
By default though. Most of my carriers don't sell D, G or N.

------------------------------------
D. Dayton Sayer IV
Dayton Sayer Insurance Agency, Inc.

"The most valuable commodity I know of is information" Gordon Gekko
  Reply With Quote to Plan N-No $20 Copay on Physical Therapy
Reply to Plan N-No $20 Copay on Physical Therapy 

  Insurance Agent Forum > Insurance Forum > Insurance Agents and Brokers Forum > Senior Insurance Forum




Similar Threads with Plan N-No $20 Copay on Physical Therapy
Thread Thread Starter Forum Replies Last Post
Is anyone going to the Convention (National Agents Alliance) (NAA dvd493 Life Insurance Forum 1559 10-28-2014 07:53 AM
Modernized Plan N Questions dandan Senior Insurance Forum 30 05-01-2010 11:32 AM
Clinton to offer health care plan, only $110,000,000,000 a year STIBROKER Health Care Reform Forum 79 09-24-2007 08:04 AM
Flexible Benefit Plan salpro22 Individual Health Insurance Forum 6 07-11-2007 04:09 PM
Matching the client with the right plan somarco General Insurance Agent Discussions 32 03-29-2007 01:43 PM



All times are GMT -5. The time now is 10:07 AM.

Forum enabled with vBulletin®
Copyright ©2000 - 2014, vBulletin Solutions, Inc.


Join the Forum - It's FREE

Share This Page



Weekly Poll

When it comes to technology, my practice is: