A PATIENT WAS SEEN IN THE OFFICE TODAY WITH SERVICES TOTALING $350.00. AFTER VERIFICATION IT IS DETERMINED THAT THE PATIENT IS COVERED BY ONE HEALTH INSURANCE PLAN AND COVERAGE INCLUDES AN ANNUAL DEDUCTIBLE OF $1,500.00 WITH 80/20 COINSURANCE. OTHER HEALTHCARE CHARGES HAVE BEEN PAID BY THE PATIENT THROUGHOUT THE YEAR AND $1,350.00 OF THE TOTAL DEDUCTIBLE HAS ALREADY BEEN MET. BASE ON THE DETAILS OF THIS SCENARIO DO THE MATH TO ANSWER THE QUESTIONS. WHAT IS THE PATIENT'S REMAINING DEDUCTIBLE THAT HAS NOT YER BEEN MET?

To determine the patient's remaining deductible that has not yet been met, we can follow these steps:

### Step 1: Identify the total annual deductible.
- The annual deductible is $1,500.00.

### Step 2: Identify the amount already paid towards the deductible.
- The patient has already paid $1,350.00 towards the deductible.

### Step 3: Subtract the amount already paid from the total deductible.
\[
\text{Remaining deductible} = \text{Total deductible} - \text{Amount already paid}
\]
\[
\text{Remaining deductible} = 1,500.00 - 1,350.00
\]
\[
\text{Remaining deductible} = 150.00
\]

### Answer:
The patient's remaining deductible that has not yet been met is **$150.00**.

Would you like to explore further details or have any questions about this scenario? Here are some related questions you might find helpful:

1. How much will the patient owe after applying the deductible and coinsurance?
2. What would the patient's responsibility be if the deductible had already been fully met?
3. How does the 80/20 coinsurance affect the patient's payment after meeting the deductible?
4. What is the total amount the insurance company will cover after the deductible is met?
5. How much more would the patient need to pay out-of-pocket if the deductible were higher?

**Tip:** Always double-check your deductible status before medical services to avoid unexpected costs.

Learn how to calculate the remaining deductible and coinsurance impact for a patient with healthcare services totaling $350. Understand the concepts of insurance deductibles and coinsurance, with step-by-step calculations. Ideal for professionals in healthcare administration and insurance.

Math Problem Statement

Solution

Ask a new question for Free

By Image

Math Problem Analysis

Mathematical Concepts

Formulas

Theorems

Suitable Grade Level

Related Recommendation