Question

Calculate what is due for this patient throughout the year

Patient #1: Katie Peary has an indemnity plan that reimburses 80/20 after she meets her $2500 deductible. There is no copay.

1. On January 15^th Katie has a physical, PAP smear and fasting blood sugar. The total is $600.

Insurance____________                                              Patient: ______________

2. Her blood sugar comes back slightly elevated so they have her come in on January 30^th to have another one done. The total is $50

Insurance____________                                              Patient: ______________

3. The results come back high again so they set up an appointment for her on 2/14. They run a number of tests on her and the total cost is $850.

Insurance____________                                              Patient: ______________

4. On 7/4 she hurt herself and ended up in the ER. The total cost is $1500.

Patient: ________________                         Insurance_____________________                    

5. On 10/10 she has a follow-up appointment for her high blood sugars. The total cost is $525.

Patient: ___________________                     Insurance_______________               

Patient #2: Frank Gallagher has an 80/20 PPO plan that has a $250 deductible, and $25.00 copayment for office visits after he meets the deductible.

1. On January 10^th he went to the doctor for low back pain after he fell on the ice. They did some x-rays, didn’t find anything so they told him to heat, then ice and come back in 10 days. Charges were $260 for the office visit.

Patient: ________________                       Insurance: ________________

2. Frank returned on January 24^th for the follow up visit. He was still having pain. They ordered an MRI and charged him $120 for the office visit.

Patient: ___________________                Insurance: ________________

3. Frank went to CDI for his MRI on January 29^th. They charged him $2500.

                Patient: ____________________             Insurance: ______________

Answer 1

In an 80:20 insurance plan, the insurance carrier reimburses 80 percent of eligible veterinary costs to the insured client after the deductible. The client is responsible for his 20 percent co-payment and deductible.

On January 15th Katie has a physical, PAP smear and fasting blood sugar. The total is $600.

Insurance -$480

Patient: - $120

Her blood sugar comes back slightly elevated so they have her come in on January 30th to have another one done. The total is $50

Insurance- $40

Patient: $10

The results come back high again so they set up an appointment for her on 2/14. They run a number of tests on her and the total cost is $850.

Insurance - $680

Patient: - $170

On 7/4 she hurt herself and ended up in the ER. The total cost is $1500.

Patient: $300

Insurance- $1200