Question

The patient is insured by a PPO with 100 percent coverage after a copay of 15. The patient was seen in the office for a checkup, and the total charges were 115. What amount must the patient pay? When? What amount must the insurance plan pay? When?

Answer 1

The patient must pay $100 while the insurance plan must pay $15.

Step-by-step explanation:

To calculate the amount the patient must pay, we subtract the copay from the total charges. In this case, the copay is $15, so the patient must pay $115 - $15 = $100.

The patient needs to pay the amount of $100. The payment is usually made at the time of the visit or within a specified period of time as determined by the healthcare provider.

The insurance plan must pay the remaining amount after the copay. In this case, the insurance plan must pay $115 - $100 = $15.