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It’s normal to think that a copay at the doctor’s office goes towards your deductible. Unfortunately, most health insurance policies do not count your copay toward your deductible. At Brown-Hurst Insurance Agency Inc., serving Iowa, we understand how confusing health insurance copays and deductibles can be. Here’s a look at how copays work, and how we can help you get a health insurance policy that fits your needs.

What Is a Copay?

A copay is a payment you make at your doctor’s office at the time of your visit. It’s similar to a deductible because you’re sharing part of the cost, and insurance covers the rest. However, your copay may or may not apply towards your deductible.

Why a Copay Won’t Count Toward Your Deductible

The type of health insurance you have dictates how your copay affects your deductible. Your plan may have copays for services that aren’t included in the deductible. For example, a routine health checkup isn’t included in the deductible. That means you still have to pay the copay even if you’ve met the deductible for the year.

Can a Copay Ever Be Applied to the Deductible?

Some health insurance polices allow you to apply your copay towards the deductible, but this isn’t guaranteed. You need to check your policy to find out if copays are credited or not. 

Contact Us To Learn More About Copays for Health Insurance

At Brown-Hurst Insurance Agency Inc., serving IA, we’re here to help you explore your options for health insurance copays and deductibles. We work with you to find a policy that makes sense for your healthcare needs. Our team of insurance agents understand what people face when it comes to finding a health insurance policy, and we use our knowledge to get you the right amount of coverage.

Through an employer, the state government, or the private route, many Iowa residents have health insurance coverage. The thought of having two health insurance policies never crossed your mind because you assumed having two policies was wrong or illegal. The team at Brown-Hurst Insurance Agency Inc. will reveal that having two health plans is not unlawful. What we prefer to discuss in detail is whether you would want to have two policies at all.

If You Already Have a Health Insurance Policy, Can You Secure a Second One?

Yes. Having two health insurance plans may reduce out-of-pocket costs, expand your network of providers, and increase insurance benefits. When the first one exhausts its resources, the second one may go into effect to cover copays, deductibles, coinsurance, and other outstanding expenses that the first one cannot. Having two health plans may also be beneficial when one of them concludes, if the remaining plan takes over coverage.

How Does This Work? 

All insurance policies in Iowa have a COB (coordination of benefits) to prevent double-billing or benefit redundancy for the same issue. Your carriers and the Iowa Insurance Code have the final say in who goes first. Some scenarios are:

• Employer or private health insurance coverage where you are a dependent is secondary coverage to insurance where your name is first.
• Policies with out-of-network coverage are primary to in-network insurance providers when you choose an out-of-network healthcare provider.
• Most of the time, government health insurance (Medicare, Medicaid, COBRA, etc.) is secondary to employer health insurance.
• The plan that covered you the longest is the primary plan, and the plan with the shorter duration is the secondary plan.

How it works for your situation depends on the types of insurance you have. Our team at Brown-Hurst Insurance Agency Inc. will review your plans and Iowa state law to determine the primary provider. The primary provider does not change unless you cancel the policy or let it expire.

The best second health insurance policies fill the gaps that the first one cannot. Therefore, our team will review your health insurance policy and suggest carrier plans that will complement the first policy without redundancy. Contact us for more information.