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Will I have to pay to get health care services?


Sometimes you will have to pay to get health care services. Preventive care is care that helps you stay well, like checkups, shots, pregnancy care, and childbirth. This kind of care is always free. You don’t have copays for preventive care.

For other care like hospital stays or sick child visits, you may have to pay part of the cost. Copays are what you pay for each health care service you get.

Not everyone in Vital has copays. Your ID card will tell you if you have copays and what they are. Copays depend on the type of Vital you have. Your ID card says what type of Vital you have.

None of your doctors or providers can refuse to give you medically necessary services because you don’t pay your copays. But, First Medical and your providers can take steps to collect any copays you owe.

You should only have to pay your copay for your care. You should not be received billed for the rest of the cost of your care. If you receive billed for the rest of the cost, you can appeal. Look at Part 7 of your Enrollee Handbook to find out what to do if you get a bill for your care.