how much will a patient pay out of pocket for a $800 major procedure if the deductible has not been paid…

how much will a patient pay out of pocket for a $800 major procedure if the deductible has not been paid? dental insurance preventative exams 100% minor restorative 80% major restorative 50% deductible $50.00 maximum benefit $1,100.00 monthly premium $40.00

how much will a patient pay out of pocket for a $800 major procedure if the deductible has not been paid? dental insurance preventative exams 100% minor restorative 80% major restorative 50% deductible $50.00 maximum benefit $1,100.00 monthly premium $40.00

Answer

Explanation:

Step1: Apply deductible first

Since the deductible of $50 has not been paid, the patient pays this amount first.

Step2: Calculate co - insurance amount

The cost of the major procedure is $800. After paying the deductible, the remaining cost is $800 - $50=$750. The insurance covers 50% of major restorative procedures, so the patient pays the other 50% of the remaining cost. The patient's co - insurance payment is $750\times0.5 = 375$.

Step3: Calculate total out - of - pocket

The total out - of - pocket amount is the sum of the deductible and the co - insurance payment. So it is $50+375 = 425$.

Answer:

$425$