Office Visit Copayment. 31 The office visit copayment applies to network provider office, home, or outpatient visits; acupuncture
Office Visit Copayment. If your Plan has an Office Visit Copayment, this is the amount of Cost Sharing you must pay each time you have an office visit with an In-network Practitioner/Provider. This Copayment is for the office visit only. All other services provided during the visit are subject to other Cost Sharing (Deductible and Coinsurance). Refer to your Summary of Benefits and Coverage for all Cost-Sharing (Copayment, Deductible and Coinsurance) amounts. Cost-sharing and benefit limitations for a Medically Necessary, non-Emergent Healthcare Service where no participating provider is available to render the service shall be the same as if the service was rendered by a participating provider. It is recommended that you verify with the Presbyterian Customer Service Center that services will be covered prior to receiving non-Emergent Healthcare Services from a non-participating provider.
Office Visit Copayment. If your Plan has an Office Visit Copayment, this is the amount of Cost Sharing you must pay each time you have an office visit with an In-network Practitioner/Provider. This Copayment is for the office visit only. All other services provided during the visit are subject to other Cost Sharing (Copayment, Deductible and Coinsurance). Refer to If you visit a health care provider’s office or clinic in the office visit section of your Summary of Benefits and Coverage for all Cost Sharing Copayment, Deductible and Coinsurance amounts. Cost-Sharing and benefit limitations for a medically necessary, non-emergent health care service where no participating provider is available to render the service shall be the same as if the service was rendered by a participating provider. It is recommended that you verify with the Presbyterian Customer Service Center that services will be covered prior to receiving non-emergent health care services from a non- participating provider.
