how much will a patient pay out of pocket for a $780 major procedure if the deductible has not been…
how much will a patient pay out of pocket for a $780 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 $1,800.00\nmonthly premium $60.00
Answer
Explanation:
Step1: Pay deductible first
The patient needs to pay the deductible amount of $100.
Step2: Calculate remaining cost after deductible
The cost of the procedure is $780. After paying the $100 deductible, the remaining cost is $780 - $100=$680.
Step3: Calculate patient's share of remaining cost
For major restorative procedures, the insurance covers 50%, so the patient pays 50% of the remaining cost. The patient's share of the remaining $680 is $680\times0.5 = $340.
Step4: Calculate total out - of - pocket cost
The total out - of - pocket cost is the sum of the deductible and the patient's share of the remaining cost, which is $100 + $340=$440.
Answer:
$440