Asked by annissa official on Jul 17, 2024
Verified
The patient in the ambulatory clinic asks the nurse in the billing office,"Why do I have to pay $10.00 for this visit when I have insurance?" What is the nurse's most appropriate response?
A) "I don't know how your insurance works. You need to pay this and follow up with your insurance company."
B) "This a co-payment you are required to pay per clinic visit as described in your insurance plan."
C) "Healthcare is expensive and insurance companies can't pay all of the costs."
D) "This is part of your insurance premium that you pay monthly."
Co-payment
A fixed amount paid by a healthcare insurance policyholder for services, such as a visit to the doctor or prescription drugs, with the rest covered by the insurance company.
Insurance Premium
The amount of money that an individual or business must pay for an insurance policy, typically charged monthly or annually.
Billing Office
A department within a healthcare facility responsible for processing patient billing and insurance claims.
- Assess the distinctions among different forms of managed care and health insurance schemes.
Verified Answer
Jul 22, 2024
Learning Objectives
- Assess the distinctions among different forms of managed care and health insurance schemes.
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