Question

1. A patient has an indemnity health insurance plan with a $250.00 deductible and a 20% co-insurance on the allowed amount for covered services. If the deductible has already been met for the year, calculate the amount the patient must pay out-of-pocket to a physician who does not participate with his plan for the service below:
Standard fee: $348.00
Allowed: 286.00
Insurance Paid 228.80
Co-insurance 57.40