A member in an indemnity BCBS plan has a family deductible of $500, with a coinsurance rate of 70-30 after the deductible has been met, up to an annual maximum out-of-pocket amount of $2,000. Calculate the total amount the patient owes for charges of the year that total $3,200.

Question

Quizplus · Accepted Answer

The patient first pays the $500 deductible. After that, they pay 30% of the remaining $2,700 ($3,200 - $500), which is $810. The total amount owed is $500 + $810 = $1,310.

A Member in an Indemnity BCBS Plan Has a Family