Office Visit and Prescription Drug Copay Reimbursement

First of all, a copayment (or copay) is a fixed dollar amount an insured party pays for a doctor visit or prescription drug, usually at the time of service. Not all medical services ask for a copay, but it will depend on the specific terms of a person’s specific insurance plan. Copays are not to be confused with deductibles, and the exact dollar amounts can fluctuate on an annual basis.

Some employers offer a reimbursement program that helps cover the copayment costs of their employers, provided the copayments exceed a certain threshold and are eligible for reimbursement. There may even be no limits or maximums on the reimbursements.

Administrative Services for Copay Reimbursements

Burnham & Flower enhances the effectiveness of our clients’ Human Resource Departments by providing administrative services for employers who offer copay reimbursement programs for their employees. Our benefits specialists can help manage your employee health benefits program, process reimbursement applications, and handle all aspects of customer service.

Our in-house services include, but are not limited to, a premier enrollment/administration system, an employee portal and mobile app, streamlined EOB retrieval, and paperless claims submissions. Detailed claims information is also made available to employers and employees.

If you are based in the state of Michigan, contact Jack Schmitz at jschmitz@bfgroup.com or 800.748.0554 for more information, and if you are based in the state of Ohio, contact Tracy Ames at tames@bfgroup.com or 800.748.0554.