A patient's total surgery charges are $1,278. The patient must pay the annual deductible of $1,000, and the policy states a 80-20 coinsurance. What does the patient owe? Explain
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A patient's total surgery charges are $1,278. The patient must pay the annual deductible of $1,000, and the policy states a 80-20 coinsurance. What does the patient owe? Explain
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- A patient's total surgery charges are $1,278. The patient must pay the annual deductible of $1,000, and the policy states a 80-20 coinsurance. What does the patient owe?A patient is admitted for appendectomy. His PhilHealth will cover up to PHP 24,000. His entire hospital bill totals up to PHP 36,000. Considering that he has a deductible of Php 500 and a 5% co-insurance, what is the patient's total out-of-pocket expense?A patient is admitted for appendectomy. His Health insurance will cover up to Php 24,000. His entire hospital bill totals up to Php 36,000. Considering that he has a deductible of Php 500 and a 5% co-insurance, what is the patient's total out-of-pocket expense?
- You have a policy with a $1,000 deductible, 80/20 co-insurance, and a $7,500 maximum OOP. You become ill and are hospitalized for two days. The total cost for your treatment is $26,000. Answer the following questions. How much will you pay of the deductible? How much will you pay in co-insurance? What is the total OOP you will pay for this hospital visit? During the same policy year, you have an additional medical expense of $3,500. How much will you pay? What is your total OOP for the year-to-date? Later in the same policy year, you have a $5,000 charge for tests required after your previous hospital stay. How much will you payC.J Watson of Clemson, SC, recently had a surgery. His total bill for the surgery, which was his only health care expense for the year, came to $12,890. His health insurance plan has a $500 annual deductible and an 80/20 coinsurance provision (meaning CJ will only pay 20% of the costs). The coinsurance cap for CJ is $2,000. How much of the bill will CJ pay?A patient is a member of a health plan with a 15 percent discount from the provider's usual fees and a $10 copay. The day's charges are $480. What amount should the HMO pay? What amount should the patient pay?
- 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 bit. What is the amount that the patient should pay?Matilda works for a company with 1,000 employees. The company has a hospitalization insurance plan that covers all employees. However, the employee must pay the first $3,000 of their medical expenses each year. Each year, the employer contributes $1,500 to each employee's health savings account (HSA). Matilda's employer made the contributions in 2020 and 2021, and the account earned $100 interest in 2021. At the end of 2021, Matilda withdrew $3,100 from the account to pay the deductible portion of her medical expenses for the year and other medical expenses not covered by the hospitalization insurance policy. As a result, Matilda must include in her 2021 gross income: a.$1,600. b.$3,100. c.$100. d.$0.Michael Howitt of Berkley, Michigan, recently had his gallbladder removed. His total bill for this surgery, which was his only health care expense for the year, came to $13,810. His health insurance plan has a $450 annual deductible and an 80/20 coinsurance provision. The cap on Michael's coinsurance share is $1,910. Round your answers to the nearest dollar. a. How much of the bill will Michael pay? b. How much of the bill will be paid by Michaels insurance?
- B. A patient is a member of a health plan with a 15 percent discount from the provider’s usual fees and a $10 copay. The day's charges are $480. What are the amounts that the HMO and the patient each pay?The Tucker family has health insurance coverage that pays 65 percent of out-of-hospital expenses after a deductible of $1,360 per person. If one family member has doctor and prescription medication expenses of $4,000, what amount would the insurance company pay?Mercy for America, a private not-for-profit health care facility located in Durham, North Carolina, charged a patient $8,600 for services. It actually billed this amount to the patient’s third-party payor. The third-party payor submitted a check for $7,900 with a note stating that “the reasonable amount is paid in full per contract.” Which of the following statements is true? The patient is responsible for paying the remaining $700. The health care facility will rebill the third-party payor for the remaining $700. The health care facility recorded the $700 as a contractual adjustment that it will not collect. The third-party payor retained the $700 and will convey it to the health care facility at the start of the next fiscal period.
