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The office visit copayments for Blue Medicare PPO Members are:
- $10 = Primary Care Physician;
- $30 = Specialty Care Physician/Professional Provider
Note: The office visit copayment is determined by how a physician/
professional provider is contracted for BlueChoice.
- If the physician is contracted for BlueChoice as a Primary Care Physician, the physician should collect the $10 copayment.
- If the physician/professional provider is contracted for BlueChoice as a Specialty Care Physician/Professional Provider, the physician/professional provider should collect the $30 copayment.
- If the physician is contracted as a Primary Care Physician and a Specialty Care Physician, then the physician should collect the $10 copayment.
For additional information, please refer to the Blue Medicare PPO Supplement.
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