If a member is on a plan that requires some medical copayments, does the deductible need to be met before the services with copayments are paid?
Services with copayments such as office visits and outpatient rehab therapy visits are paid without the deductible needing to be met. The member is only responsible for the copayment and ODS pays the rest. Services such as emergency room visits, imaging procedures and additional cost-tier procedures require the member to pay the copayment, then the annual deductible and then benefits will pay at the appropriate coinsurance level.
