How much will a patient pay out of pocket for a $350 minor procedure if the patient chooses to self-insure?
| Dental Insurance |
| :----------------------------------------------------------: |
| Preventative Exams | 100% |
| Minor Restorative | 80% |
| Major Restorative | 50% |
| Deductible | $50.00 |
| Maximum Benefit | $1,100.00 |
| Monthly Premium | $40.00
Answer (2)
350
Explanation
Understanding Self-Insurance The patient is self-insured, meaning they have no insurance coverage. Therefore, they are responsible for the entire cost of the minor procedure.
Calculating Out-of-Pocket Cost The cost of the minor procedure is $350 . Since the patient is self-insured, the out-of-pocket cost is equal to the full cost of the procedure.
Final Answer Therefore, the patient will pay $350 out of pocket.
Examples
Imagine you need to get your car fixed, and you don't have car insurance. If the repair costs $350 , you would have to pay the entire amount yourself. Similarly, in this dental scenario, choosing to self-insure means you're responsible for the full cost of any procedures, just like paying for a car repair without insurance.
The patient will pay the full $350 out of pocket because they are self-insured and have no insurance coverage. This means they are responsible for the entire cost of the minor procedure. Therefore, the out-of-pocket expense is simply the cost of the procedure.
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