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Thread: Well woman copays

  1. #1

    Default Well woman copays

    AAPC: Back to School
    Is there something new with BCBS well woman copays that I might not know about??? Pt came in stating that she didn't need to pay her copay cause it was a well woman visit, it that true??

  2. #2
    Join Date
    Apr 2007
    Charleston, South Carolina


    You may want to verify her benefits. Maybe her employer has chosen that she doesn't have a copay for well women exam as a benefit. It may not be "BCBS wide" type of thing.
    Machelle Morningstar, CPC, COC, CEMC, COSC
    AHIMA Approved ICD-10-CM/PCS Trainer

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Policy specific

    This is policy specific. Last year ours stated preventive exam was co-pay exempt. All other visits $25 (except ER which is $100)

    This year it's changed. Any visit with PCP is $20. Any visit with specialist is $40. (ER is still $100.)

    It should be spelled out on the patient's insurance card.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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