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AAMA CMA Practice Question

A patient arrives for a scheduled surgery and hands you their insurance card. Upon checking their insurance benefits, you realize that their plan requires a $500 deductible, which has not yet been met this year. The estimated cost for the surgery is $2,500. According to the terms of the patient's insurance plan, how much will the patient be expected to pay upfront, assuming the deductible is applied to this surgery?

  • The patient will pay nothing upfront; insurance will cover the entire surgery cost.

  • The patient will pay a $250 copayment, as it is often half the deductible amount.

  • The patient will pay the full $2,500 upfront.

  • The patient will pay the $500 deductible upfront.

AAMA CMA
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