1. The patient is seen by his family physician for follow-up treatment of recently diagnosed asthmatic bronchitis. The physician’s fee is $75. The patient’s copayment is $20. The patient’s insurance plan covers 80% of the fee schedule amount of $60. No deductible is required.
What is your question?
What amount does the patient pay the provider?
44.00
To find out how much the patient will owe after insurance coverage, follow these steps:
1. Determine the fee schedule amount: In this case, the fee schedule amount is $60.
2. Calculate the insurance coverage: The patient's insurance plan covers 80% of the fee schedule amount. Multiply $60 by 80% (or 0.8) to find out how much the insurance will cover. 60 x 0.8 = $48.
3. Calculate the patient's portion before copayment: Subtract the insurance coverage from the fee schedule amount. $60 - $48 = $12.
4. Add the copayment to the patient's portion: The copayment is $20. $12 + $20 = $32.
Therefore, the patient will owe $32 after insurance coverage.