Mary's Insurance Plan Pays 100% of Allowed Charges and Does

question 56

Multiple Choice

Mary's insurance plan pays 100% of allowed charges and does not allow balance billing. She has a procedure done that is covered by her insurance. She is billed for $500 by the physician, but her insurance company only allows $350. How much will Mary have to pay?

• A) Mary must pay $150
• B) Mary has to pay only 20% of the $500 charge ($100)
• C) Mary must pay only 20% of the allowed charge, which would come to $70
• D) Nothing-the physician must accept the $350 from the insurance company as payment in full

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Definitions:

Mild ID

A categorization of intellectual disability that indicates relatively higher functioning, with some limitations in intellectual and adaptive abilities.

Intellectual Disability

A term used to describe individuals with significant limitations in both intellectual functioning and in adaptive behavior, which covers a range of everyday social and practical skills.

Neurological Dysfunction

A condition characterized by the abnormal function of the body's nervous system, affecting mental, physical, and emotional abilities.

Physical Handicaps

Physical handicaps are impairments that substantially limit one or more of a person's major life activities, involving bodily functions or structures.