A co-payment is collected when an office visit service is rendered. Generally, co-payments are applied to evaluation and management services, which include office visit and exams performed in the physician's office. Our reimbursement excludes the co-payment that the physician collects from the member.
Do NOT collect the co-payment when services occur without a separate identifiable office visit, as in the case of:
TVHP waives the co-payment for the following office visit services:
Some members use HealthCare Debit Cards to cover out-of-pocket costs. HealthCare Debit Cards typically have a major debit card logo.
The debit card should only be used to collect co-payments or outstanding balances on billing statements (after BCBSVT has processed the claim). The card should not be used to process the full charge up front.