Scenario
An exam fee on an otherwise eligible claim
Keep in mind: Actual coverage depends on the policy, eligibility, medical history, exclusions and provider documents.
TreatmentPotentially eligible
Exam feeSeparate charge
DeductibleAlready met
Key issuePolicy treatment of exam fees
Two bills with the same medical treatment can produce different out-of-pocket costs depending on whether exam fees are included under the policy.
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