If a provider's bill is $600 and they accept assignment, how much will the insured pay if the approved amount is $400?

Prepare for the North Carolina Medicare Supplement and Long-Term Care Agent Test with flashcards and multiple-choice questions. Each comes with hints and explanations. Ace your exam confidently!

When a healthcare provider accepts assignment, they agree to be paid directly by Medicare or the insurance company for the approved amount, and they also accept that amount as full payment for their services. In this case, if the approved amount is $400, it means that Medicare or the insurer will pay this sum directly to the provider.

The amount the insured is responsible for paying typically involves any deductibles, coinsurance, or copayments that are applicable based on their coverage plan. Assuming that the insured has already met their deductible and their coinsurance is 20%, the insured would be responsible for 20% of the approved amount of $400.

Calculating this, 20% of $400 is $80. Hence, the insured would pay $80, which aligns with the given correct answer. Understanding how assignment works and the role of deductibles and coinsurance in determining the insured's payment is crucial in interpreting the financial responsibilities involved in such healthcare scenarios.

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