In this article, we’re answering FAQs pertaining to managing wellness client copays for dietitians. As your client load increases, it can become quickly difficult to keep track of client copays, and ensure that the proper amounts were billed and collected from clients. Even more, having a way to securely store your client’s financial information is critical, so that you may collect copays for subsequent visits. The monthly maximum amount is calculated based on income records Health First Colorado has on file for your household.If you’re just starting out with insurance in your nutrition private practice, it’s important to understand how you will identify, and collect, client copay amounts.If one member’s co-pays reach the maximum, all members of the household will have no co-pays for the rest of the month. This maximum is shared by all members of a household.This maximum is based on a formula:ĥ% of the member’s monthly household incomeįor example, a household with a monthly income of $900 would pay no more than $45 in co-pays for that month. This means once a member has paid up to a certain amount in co-pays in a month, they don’t have to pay any more co-pays for the rest of that month. There is a monthly co-pay maximum for Health First Colorado members. Same co-pays for a 3-month supply by mail $3 for generic and $3 for brand name drugs Prescription drugs or services (each prescription or refill) Primary Care Physician and specialist servicesĬare you get from your Primary Care Physician or specialists outside of a hospital Outpatient hospital non-emergent emergency room visitĬare in the emergency room when it is not an emergency.Ĭare at a hospital when you are not admitted for a stay Outpatient surgery that takes place at an Ambulatory Surgery Center Outpatient surgery at an Ambulatory Surgery Center $10 per day never more than half of the cost Health First Colorado pays for the first day of care in the hospital Preventive services, such as yearly checkups, and vaccinesĬare at a hospital when you stay overnight.Members ages 18 to 25 who are enrolled in Former Foster Care.American Indian or Alaska Native members.Members who choose Denver Health as their health plan.Pregnant women (includes pregnancy, labor, birth and up to 12 months after delivery).Some Health First Colorado members never have co-pays. Health First Colorado cannot send you a refund. If your provider charges you for a co-pay when they shouldn’t, you must contact your provider for a refund. If you cannot pay the co-pay right away, the provider must still see you. Health First Colorado Co-Pay Sample Letter.The Benefits & Services page lists specific co-pays by service.The head of household will receive a letter showing the household has reached the monthly limit, and how the limit was calculated. Health First Colorado will automatically notify you when your household has reached its co-pay maximum for the month. Health First Colorado members never have to pay more than the co-pay for a covered service. Different services can have different co-pay amounts, but the same service will always have the same co-pay amount every time the member has to pay it. Co-pays are dollar amounts some members must pay to their provider when they receive certain services. Some services covered by Health First Colorado (Colorado’s Medicaid Program) have a co-pay.
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