Update: Empire Plan published updated copay list for 2020, please look at my latest post about the info.
“Empire Plan NYSHIP- Office visit co-pay changes for 2020”
Do you see NY Empire State Plan patients? Have you noticed something different in your payments for the year 2019?
If not, then do not fret. Here is what is new for the year 2019
In 2019- reimbursement for CPT code 94200 is $0 with a patient responsibility of a co-pay of $25.
Yes, now the patient has to pay for the whole “allowed amount”!
Also the co-pay for the E/M codes also went up to $25 for certain plans. You will need to look up the benefits before the appointment.
Compare to 2018- reimbursement for CPT code 94200 was $5 with a co-pay of $20.
KR2 Medical Billing 