Follow John's visit, step by step
Press Play to watch the whole journey, or tap any stop to jump there.
Who pays what?
The clinic billed $200 for the session. Here is how that splits up. Hover or tap a slice to learn more.
John's insurance covers most of the visit.
A small fixed amount he pays every visit, his only out-of-pocket cost here.
A discount Aetna negotiated. Nobody pays this, not John, not Aetna.
So what does John actually pay?
It depends on one thing: did the front desk collect his co-pay at the visit? Flip the switch to compare.
Quick word bank
Tap any term you are unsure about.
A small fixed amount you pay for each visit (here, $30). It does not change based on the total bill.
The amount you pay yourself each year before insurance starts chipping in. John's is already met, so it does not add to his cost.
A provider who has an agreement with your insurer. It means lower, capped costs for you, plus that negotiated write-off discount.
The bill the clinic sends to your insurer asking them to pay their share. Mediyn sends it electronically through a service called Office Ally.
A quick, instant lookup before the visit that confirms your coverage is active and shows your co-pay and deductible.
The difference between the clinic's sticker price and the rate the insurer agreed to. It is a discount. Nobody pays it.