A patient has met a Medicare deductible of $150. The patient's coinsurance is 20%, and the allowed amount is $600. Which of the following is the patient's out of pocket expense?

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Multiple Choice

A patient has met a Medicare deductible of $150. The patient's coinsurance is 20%, and the allowed amount is $600. Which of the following is the patient's out of pocket expense?

The key idea is how deductible and coinsurance work when the yearly deductible has already been met. Once the deductible is satisfied, the patient pays coinsurance on the allowed amount for the service, not the remaining balance after the deductible. Here, the allowed amount is $600 and coinsurance is 20%. Since the $150 deductible has already been met, you don’t subtract it again. 20% of $600 equals $120, so the patient’s out-of-pocket expense for this service is $120.

The key idea is how deductible and coinsurance work when the yearly deductible has already been met. Once the deductible is satisfied, the patient pays coinsurance on the allowed amount for the service, not the remaining balance after the deductible.

Here, the allowed amount is $600 and coinsurance is 20%. Since the $150 deductible has already been met, you don’t subtract it again. 20% of $600 equals $120, so the patient’s out-of-pocket expense for this service is $120.

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