Question

A. A patient’s insurance policy states:


Annual deductible: $300.00

Coinsurance: 70-30


This year the patient has made payments totaling $533 to all providers. Today the patient has an office visit (fee: $80). The patient presents a credit card for payment of today’s bill. What is the amount that the patient should pay?

Answer 1

Answer:

80

Explanation:

over deductible limit

Answer 2

The amount that the patient should pay is $24.

Amount to be paid by patient

Amount to be paid=Total payable-Percentage paid by insurance company

Hence:

Amount paid

Total payable $80

Less 70% to be paid by the insurance company $56

($80×70%)

Net 30% to be paid by patient $24

Inconclusion the amount that the patient should pay is $24.

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