Who is primarily responsible for paying the deductible in a health insurance plan?

Prepare for the Certified Billing and Coding Specialist Exam. Improve your skills with multiple choice questions; each question comes with hints and explanations. Get confident for your exam!

In a health insurance plan, the deductible is the amount that the insured individual (the patient) is required to pay for healthcare services before their insurance coverage begins to pay. This means that the patient must meet the deductible by paying out of pocket for their medical expenses up to a certain amount. Once the deductible is met, the insurance company starts to cover a portion of the healthcare costs as outlined in the policy.

The other entities listed, such as the insurance company, provider, and healthcare facility, do not bear the responsibility of paying the deductible. The insurance company pays for claims after the deductible is met, the provider delivers the services and bills the insurance or the patient, and the healthcare facility typically collects co-pays and other payments but does not pay the deductible itself. Thus, the patient is primarily responsible for the deductible in a health insurance plan.

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