Final answer:
The patient's bill comprises a $50 annual deductible and $45 coinsurance at a rate of 20%, resulting from receiving services from an out-of-network provider.
Step-by-step explanation:
Thank you for reaching out with your concerns about the charges. Allow me to explain the costs associated with your recent visit. The Explanation of Benefits (EOB) you received outlines two types of cost-sharing components of your health insurance: the deductible and coinsurance.
Firstly, part of the charge is due to your annual deductible, which is the amount you need to pay out-of-pocket each year before your health insurance begins to cover the costs. In this case, you're responsible for a $50.00 deductible payment for the visits.
Secondly, once the deductible is met, coinsurance comes into play, which is your share of the costs of a covered healthcare service. Your coinsurance is 20% of the allowed charge, amounting to $45.00. Since we are an out-of-network provider, these charges may differ from what you've encountered with in-network providers in the past, where your plan might have different cost-sharing rates or arrangements.
Insurance plans can often have complex arrangements, such as deductibles, copayments, or coinsurance, all of which are methods to balance costs between the insurer and the policyholder. It's our aim to make sure you understand and are clear about these costs. If you have any further questions, please feel free to ask.