What happens if a patient does not meet their deductible?

Prepare for your Insurance and Coding Specialist Test with comprehensive practice quizzes. Study using flashcards and multiple-choice questions, each with detailed explanations. Enhance your test readiness and ace your exam!

When a patient has not yet met their deductible, they are required to pay for all medical costs out of pocket until the deductible amount is fully satisfied. A deductible is the initial amount of money that the insured person must pay for healthcare services before the insurance plan begins to pay its share. Therefore, if a patient has not reached this threshold, their insurance does not provide financial assistance, and they are responsible for all expenses incurred.

This scenario explains why the insurance company does not cover any expenses until the deductible is met. The other choices do not accurately reflect how insurance deductibles function. For instance, the insurance company does not fully cover expenses if the deductible remains unmet, and billing for services not covered by the policy does not pertain directly to the concept of a deductible. Additionally, the notion of a grace period is generally not applicable to deductibles; they are typically a strict threshold that must be reached for coverage to begin.

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