Question

Use the following figure to answer this question.

Excellent Health Plan Member Name:
(Veronica Casto
Member ID: MKJ538721P
Prescription Group No: W32187
RX Group: 321543
Generic RX $15
Preferred Name brand RX $50
Nonpreferred Name brand RX $70
Unknown State University
Prime Care Excellence - HMO
Date Issued 04/01/XXXX
In-Network Member Responsibility
Primary $25.00
Specialist $50.00
PT/OT/SP $35.00
BH, SU $100.00
Urgent Care $50.00
ED $150.00)
Veronica went to the general physician. This was a follow-up visit for hypertension that has been active for the past five years. What copayment should the physician's office collect?

Answer 1

Veronica's physician's office should collect a copayment of $25.00 for her follow-up visit for hypertension.

Step-by-step explanation:

The physician's office should collect a copayment of $25.00 from Veronica for her follow-up visit for hypertension. This is the amount specified in her health plan's In-Network Member Responsibility for a primary care visit.