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I've functioned as a caregiver and rep payee for a socially disabled friend for over 10 years and have to stop due to long term stress and members of my own family need me. Being right there all of the time, as rep payee, I paid the office visit medical copays before my friend was seen, but I'm trying to find out how a medical copay at an office visit gets paid if the rep payee is not at the visit. Copay is usually required before seen. I'm working through a very difficult transition period and trying to get him set up with a person/persons to take my place. Only one person in his family has offered to even consider being rep payee, no one for providing him with assisted living on one level or another. He is very intelligent, has a drivers license, a car, and a place to live. He just does not cope well at all trying to do things that require social interaction. He can experience a meltdown if over stimulated and the causes vary greatly. Sorry to go on about my situation, but it is a bit different than caring for a senior as most of the discussions are regarding caring for seniors. I did help with my mom's care before she passed, too, so I have had experience with that also. My question boils down to one that can be in general about how a non-present rep payee pays for the beneficiary's medical copay, if anyone knows. Thanks.