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Under a nonscheduled plan, what portion of the balance could an insurance expect to pay for basic services?

A) 100%
B) 80%
C) 50%
D) 20%

User Apostle
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1 Answer

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Final answer:

Under a nonscheduled plan, the insurance company typically pays 80% of the costs for basic services after deductibles, and the insured pays a 20% co-insurance. The correct answer is B) 80%.

Step-by-step explanation:

Under a nonscheduled plan, for basic services such as physician services, medical tests, and outpatient visits, an insurance company might expect the insured to pay a portion of the balance through cost-sharing mechanisms like co-insurance or co-payments.

Typically, health insurance plans will cover a significant portion of these costs, but not the entirety. For basic services, a common co-insurance rate is 20%, meaning the insurer would pay 80% of the costs after any deductible is met, and the insured would pay the remaining 20%.

Therefore, the correct answer in this context is B) 80%, as it represents the portion of the balance that the insurer would expect to pay for basic services under a typical nonscheduled plan.

User Martin Wiebusch
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