Why would I have changes to my copayment for the same visit type, to the same provider, with the same insurance, in the same calendar year? Texas, USA

Earlier in the year, I was seeing a mental health therapist (LPC), who, after experiencing some insurance changes, I had to stop seeing for a while due to financial limitations. Fast-forward half a year, and I am able to resume seeing the same provider. My EOB for outpatient mental health visits is 50% copayment for no more than 20 visits per year after my $5,000 annual deductible has been met, leaving my minimum expected copayment after my most recent visit to be $60 ($120 session if I’ve met my deductible for the year).

However, as I have not reached my annual deductible for the year, I was expecting to receive an invoice for the full fee of $120. When I received my invoice, though, it was only $50 which my therapist’s office said that it was my copay, even after verifying this with my insurance company. This is what I pay my psychiatrist or neurologist’s office when I see them, as that is my in-network specialist copay.

Why, within the same calendar year and with no insurance changes, would I go from being charged a percentage of the visit as my copayment to a set amount of $50 for a copayment? My EOB still reads the exact same as it did at the beginning of the year.

submitted by /u/Alainasaurous
[link] [comments]Earlier in the year, I was seeing a mental health therapist (LPC), who, after experiencing some insurance changes, I had to stop seeing for a while due to financial limitations. Fast-forward half a year, and I am able to resume seeing the same provider. My EOB for outpatient mental health visits is 50% copayment for no more than 20 visits per year after my $5,000 annual deductible has been met, leaving my minimum expected copayment after my most recent visit to be $60 ($120 session if I’ve met my deductible for the year). However, as I have not reached my annual deductible for the year, I was expecting to receive an invoice for the full fee of $120. When I received my invoice, though, it was only $50 which my therapist’s office said that it was my copay, even after verifying this with my insurance company. This is what I pay my psychiatrist or neurologist’s office when I see them, as that is my in-network specialist copay. Why, within the same calendar year and with no insurance changes, would I go from being charged a percentage of the visit as my copayment to a set amount of $50 for a copayment? My EOB still reads the exact same as it did at the beginning of the year. submitted by /u/Alainasaurous [link] [comments]Read Morer/HealthInsurance

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