Friday, February 11, 2011

how does a deductible on an insurance policy work? is the deductible paid by the patient to the provider?

example: $1500 worth of dental services are rendered to the patient. The patient's insurance policy pays at 80%, leaving the patient a co-pay of 20%, meaning the patient pays $300 to the dental provider. If there is a $200 deductible, is that paid to the dental provider or to the insurance company? If the deductible is to be paid to the provider, does the patient then pay a total of $500 to the provider?
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In this instance, you would pay ths first $200.00 to the dentist and then the insurance company would pay 80% of the remaining $1200.00. That would be $960.00. That leaves another $240.00 for you to pay. The billing clerk or insurance specialist in the dentist's office handles this for you. Every office has one and they are very adept at working with insurance offices.
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