We collect copays for every clinical appointment in our office, including office visits, diagnostic testing, and cochlear implant programming, regardless of whether your appointment includes a visit with Dr. Hegarty.
Most insurances require a copay for all types of appointments. If you paid a copay for a visit that did not require it we will refund your copay after your insurance claim has paid. We will also reimburse any copays collected after you have reached your out-of-pocket maximum. Please note: Medicare Advantage plans require copays for all visits.
Some insurances require copays even if they are not shown on your insurance card. We will collect Specialist copays for the following insurances:
TRICARE Prime retirees: $30
BCBS FEP Blue beneficiaries: $40
AARP Medicare Supplement Plan N: $20
Please note that some Anthem BCBS and Medicare Supplement Plans may have copays that are not shown on your card. If your billing history indicates a copayment we will ask you to pay that copay amount when you check-in for your appointment.
We will not collect copays if you have secondary insurance other than Health First Colorado/Medicaid. If you have commercial insurance and Medicaid as a secondary you will have to pay the copay, if any, on your commercial insurance card.
We do not collect copays for post-operative visits in the global period.