Question

During this role- play, Christi Brown is meeting with you regarding the bill she receives in the mail. when she called to make the appointment, she voiced her confusion about the bill, stating she thought her insurance covered everything. You check her record and she that she met her deductible and now needs to pay 20% of the billed amount. She owes $170.

As the medical assistant explain how deductible works

Answer 1

ANSWER:-

*Deductible means the amount of money a person needs to pay for covered benefits before the insurance company pays anything..

*Example:- If you have a deductible of $2000, you will pay 100% of your health insurance bill for covered services until

you have paid your $2000 deductible out of your pocket.Once you have paid and reached your deductible($2000) ,your insurance company starts paying the bill.

*Once you have paid $2000 and reached your deductible ,insurance company starts picking up the bill.You will typically share the cost of the rest of your covered services that you recieve in the coverage year with your insurance company by paying either a copayment ,also known as coinsurance.

*With most plans after you have met your deductible you and your insurance split the cost of your qualified medical expenses. If your coinsurance is 20%, that means after your deductible is met, you will pay 20% of the medical bills and your insurance company will pay 80%.

* High deductible health plans will usually have lower premiums than an equivalent health insurance plan with a lower deductible..

* High deductible health plans provide 100% coverage for preventive ,in-network services before you satisfy your deductible.