u/up4luck

Plan N and No copay

Last October 2025 I went on Medicare and obtained my medigap Part N through Cigna. A few months later my medigap transferred to HealthSpring.

Since meeting my deductible, I’ve had several Physical therapy sessions and 4-5 doctor office visits. No one has collected a co pay up front, nor have I been billed for my copay which should be up to $20 under Plan N.

Medicare EOBs show I “may” owe the remaining 20%. My HealthSpring patient portal show that no claims have been submitted.

Medicare is showing my other insurance to be LOYAL AMERICAN LIFE INSURANCE CO which I believe is the underwriter for HealthSpring

Why might I not be incurring a copay? Or does billing by the provider just take several months?

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u/up4luck — 6 hours ago