A patient’s total surgery charges are $1,278.

Question

calculating insurance math ...A patient’s total surgery charges are $1,278. The patient must pay the annual deductible of $1,000, and the policy states a 80-20 coinsurance. What does the patient owe?

Answer 1

the patient needs to pay both the deductible and their portion of the coinsurance ... for this scenario with the $1000 deductible and 20% coinsurance that means taking

1000 + (1278 - 1000)*20%

=1000 + 55.60

=1055.60

meaning that the patient owes a total of $1,055.60 for the surgery

Answer 2

First subtract the copay

So $1278 - 1000 = 278

Then take 20% of 278 =55.6

Now add the two: 1000 (copay) + 55.6=$1056.60