AAMA CMA Practice Question

The patient has already paid $400 towards their deductible, leaving $600 remaining. The cost of the procedure will first be applied to satisfy the remaining deductible, which is $600. After the deductible is met, the insurance covers 80% of the remaining procedure cost ($900). The insurance will pay $720 (80% of $900), and the remaining 20% of the covered amount, which is $180, will be the patient's responsibility. Therefore, the patient’s total payment after insurance coverage is the remaining deductible ($600) plus their 20% coinsurance share ($180), totaling $780.