General Category > General Questions

Co pay

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PMRNC:

--- Quote ---I would ask the patient to clarify the type of account.
--- End quote ---

It really doesn't matter, flex plan, HSA, cafeteria, etc.. those are private accounts with funds from the employee/company that can be used for out of pocket expenses, they are not maintained by an insurance company, they are private employer sponsored funds and it is the patient's responsibility to seek those funds on their own. They are still responsible for payment of out of pocket and cost sharing expenses of their insurance company and THEN seek reimbursement collection from those private funds. SOME HSA's will do an assignment of benefits but it's up to the patient to file the claim and assign the benefits. If you wait on an HSA or any other such plan, 9 out of 10 times you won't get paid, many times the patient will get the money and your out. Best to stay OUT of those situations by making it clear to the patient what they are responsible for.

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