There are changes to the copays for preventative visits and i was wondering how offices were handling this. From what i have read medicare patients have no copay for yearly pe's. Also i believe there is no copay for all other plans for patients who have a policy that started on or after 9/23/10. That would mean all previous policies still have a copay?? I work in a pediatric office and am trying to make sure we are doing this correct. The reform site says these regulations apply to health insurance issuers for policy years beginning on or after 9/23/10. To me that says all plans effective before this will still have a copay for services. Any thoughts?:d