how much will a patient pay out of pocket for a $520 major procedure if the deductible has not been…
how much will a patient pay out of pocket for a $520 major procedure if the deductible has not been paid?\ndental insurance\npreventative exams 100%\nminor restorative 80%\nmajor restorative 50%\ndeductible $100.00\nmaximum benefit $2,200.00\nmonthly premium $70.00
Answer
Explanation:
Step1: Apply deductible first
The patient needs to pay the deductible amount first. Since the deductible is $100 and the procedure cost is $520, the remaining cost after paying the deductible is $520 - 100=420$.
Step2: Calculate patient - share for major restorative
For major restorative procedures, the insurance covers 50%. So the patient pays 50% of the remaining cost. The patient - share of the remaining $420$ is $420\times0.5 = 210$.
Step3: Calculate total out - of - pocket cost
The total out - of - pocket cost is the sum of the deductible and the patient - share of the remaining cost. So it is $100 + 210=310$.
Answer:
$310$