F. A patient’s total surgery charges are $1,278. The patient must pay the annual deductible of...
F. 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?
Homework Answers
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F. A patient’s total surgery charges are $1,278. The patient
must pay the annual deductible of...
Sylvia recently had her appendix removed. Her total bill for the surgery, which was her only...
Sylvia recently had her appendix removed. Her total bill for the surgery, which was her only healthcare expense for the year, came to $11,500. Her health insurance plan has a $500 annual deductible and an 80/20 coinsurance provision. The cap on Sylvia’s coinsurance share is $1,500. How much of the bill will Sylvia pay? How much of the bill will be paid by Sylvia’s insurance?
Sylvia recently had her appendix removed. Her total bill for the surgery, which was her only healthcare...
Sylvia recently had her appendix removed. Her total bill for the surgery, which was her only healthcare expense for the year, came to $11,500. Her health insurance plan has a $500 annual deductible and an 80/20 coinsurance provision. The cap on Sylvia’s coinsurance share is $1,500. A. How much of the bill will Sylvia pay? B. How much of the bill will be paid by Sylvia’s insurance?
Case 8.3 Calculating Insurance Math Part 2
Using this fee schedule for three different payers for orthopedic procedures, complete the questions that follow.1. A patient with BCBS PPO coverage had surgical knee arthroscopy with medial and lateral meniscectomy. The plan has an 80-20 coinsurance, with no copayment for surgical procedures. The annual deductible is met. What will the plan pay, and what amount does the patient owe?2. A United patient has a high-deductible plan with a $1,200 deductible for this year that has not been met and...
Insurance Plan: Mountville Health Plan; patient has met annual deductible of $250;80-20 coinsurance
Insurance Plan: Mountville Health Plan; patient has met annual deductible of $250;80-20 coinsurance. Services:CPT codes: 99203 and 90700. Usual charges are: $100& $102. Allowed charges are:$89 & $87How do you calculate between the two
Outpatient Insurance Coding - Applying Concepts Ch 1
1. The patient's health insurance plan has a $750 deductible for hospital visits, and then it covers 100 percent of hospital visit charges. The patient's first hospital visit this year had charges of $612. The patient was subsequently admitted to the hospital a second time this year, and the charges totaled $358. How much will the patient be billed for each visit? How much will the health insurance plan reimburse for each visit?2 A patient insured under an indemnity plan...
Outpatient Insurance Coding - Applying Concepts Ch 3
1. The patient is insured by a PPO with 100 percent coverage after a copay of $15. The patient was seen in the office for a checkup, and the total charges were $115. What amount must the patient pay? When? What amount must the insurance plan pay? When?2 Afaf Darcy is insured by an HMO with a $10 copay and out-of-network coinsurance on charge balances of 90-10. She needed ysical therapy after her knee replacement. Her HMO pays for eighteen...
Case Study 3.4 Calculating Insurance Math Worksheet Name: Click here to enter your name. INSTRUCTIONS: Calculate...
Case Study 3.4 Calculating Insurance Math Worksheet Name: Click here to enter your name. INSTRUCTIONS: Calculate the insurance in each of the following situations. Upload your completed worksheet to the 3.4 Case Study dropbox. 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: S80). The patient presents a credit card for payment of today's bill What is the...
CALCULATING COINSURANCE AND DEDUCTIBLE Use this information as you answer the follovwing questions Patient: Zach Green...
CALCULATING COINSURANCE AND DEDUCTIBLE Use this information as you answer the follovwing questions Patient: Zach Green Deductible: $750 Coinsurance: 80/20 Patient out-of-pocket expense maximum $2,000 During Zach's first visit of the year, he incurred a $500 bill. Who pays this bill?, During Zach's second visit of the year, he incurred a S450 bill. Describe how the insurance carrier. 1. much is paid by Zach and s Zach had surgery, which was his third claim of the year. He had a...
A homeowners' policy will typically pay up to $500 per plant that is damaged by a...
A homeowners' policy will typically pay up to $500 per plant that is damaged by a covered peril. This is an example of: an aggregate dollar limit an open perils dollar limit C. a specific dollar limit a mixed dollar limit none of the above e. You purchase an annuity for which you will make one payment of $15,000 on your 50 birthday. The annuity will start paying you $400 a month on your 67" birthday until you die. What...
Do The Math 11-2 Health Care Event Protection Christina Haley of Elko, Nevada, age 57, recently...
Do The Math 11-2 Health Care Event Protection Christina Haley of Elko, Nevada, age 57, recently suffered a stroke. She was in intensive care for 3 days and was hospitalized for 10 more days. Her total bill for this care was $129,500. After being discharged from the hospital, she spent 25 days in a nursing home at a cost of $250 per day. Christina, who earns $4,500 per month, missed two months of work. Christina had a health insurance plan...
Case Study 3.4 Calculating Insurance Math Worksheet Name: Click here to enter your name. INSTRUCTIONS: Calculate the insurance in each of the following situations. Upload your completed worksheet to the 3.4 Case Study dropbox. 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: S80). The patient presents a credit card for payment of today's bill What is the...
CALCULATING COINSURANCE AND DEDUCTIBLE Use this information as you answer the follovwing questions Patient: Zach Green Deductible: $750 Coinsurance: 80/20 Patient out-of-pocket expense maximum $2,000 During Zach's first visit of the year, he incurred a $500 bill. Who pays this bill?, During Zach's second visit of the year, he incurred a S450 bill. Describe how the insurance carrier. 1. much is paid by Zach and s Zach had surgery, which was his third claim of the year. He had a...
A homeowners' policy will typically pay up to $500 per plant that is damaged by a covered peril. This is an example of: an aggregate dollar limit an open perils dollar limit C. a specific dollar limit a mixed dollar limit none of the above e. You purchase an annuity for which you will make one payment of $15,000 on your 50 birthday. The annuity will start paying you $400 a month on your 67" birthday until you die. What...
Do The Math 11-2 Health Care Event Protection Christina Haley of Elko, Nevada, age 57, recently suffered a stroke. She was in intensive care for 3 days and was hospitalized for 10 more days. Her total bill for this care was $129,500. After being discharged from the hospital, she spent 25 days in a nursing home at a cost of $250 per day. Christina, who earns $4,500 per month, missed two months of work. Christina had a health insurance plan...
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