Sandy Smith is seen by her family physician for her annual exam. The physician’s

Question

Sandy Smith is seen by her family physician for her annual exam. The physician’s fee is $245. The allowable charge is $195. The patient has an 85/15 coinsurance and has met her annual deductible. What amount does the provider write off, how much does the insurance pay and how much does the patient owe?

*Answers are listed in the order of the question

$0,$42.50,$7.50

$50, $208.25, $36.75

$50,$165.75,$29.25

$0, $29.25, $165.75

$0,$42.50,$7.50

$50, $208.25, $36.75

$50,$165.75,$29.25

$0, $29.25, $165.75

Explanation / Answer

Deductible is the cost that a patient pays or most medical procedures before the insurance company covers costs.

Coinsurance is the percentage of medical costs a patient pays after they meet their deductible until they meet their out of pocket maximum.

Answer is c

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