Question

In: Finance

The patient's health insurance plan has a $750 deductible for hospital visits, and then it covers...

The patient's health insurance plan has a $750 deductible for hospital visits, and then it covers 100 percent of hospital charges. The patient's first hospital visit this year had charges of $612. The patient was subsequently admitted to the hospital a second time this year, and the charges totaled $358.

How much will the patient be billed for each visit?

Visit 1

Visit 2

How much will the health insurance plan reimburse for each visit?

Visit 1

Visit 2

Expert Solution

Patient bill

Visit 1: $612

(Since the bill amount is within the deductible, entire amount will be paid by patient)

Visit 2: 358-(750-612) = 220

(The balance of charges after deductible is fully met is paid by patient)

Insurance reimbursement

Visit 1: 0

(Since the bill amount is within the deductible, entire amount will be paid by patient)

Visit 2: 358-220 = 138

(Charges Till the amount of deductible is paid by patient, balance by company)

jeff jeffy answered 2 years ago

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