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When a patient's insurance covers 80% of the cost of a prescription, and the patient is responsible for the remaining 20%, this is known as:

A) Co-payment
B) Deductible
C) Co-insurance
D) Premium

User Monicuta
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1 Answer

6 votes

Final answer:

Co-insurance is the term used when an insurance policy covers a certain percentage of a cost, and the patient is responsible for the remaining percentage, such as an 80-20 split where insurance pays 80% and the patient pays 20% of the cost.

Step-by-step explanation:

When a patient's insurance covers a certain percentage of the cost of a prescription, and the patient is responsible for the remaining percentage, this payment structure is referred to as Co-insurance. Specifically, if the insurance covers 80% of the cost, and the patient pays the other 20%, the patient is participating in a co-insurance agreement. This is distinct from a Co-payment (or co-pay), which is a fixed amount the patient pays regardless of the total cost; a Deductible, which is an amount the patient must pay out-of-pocket before insurance starts to cover expenses; and a Premium, which is the regular amount paid for the insurance policy itself.

User Mdomans
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