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Paid by Insurance Paid by y 1. $500 deductable, 20% Co-insurance, 515 co pay Total Expense Broken Finger- ER $350 X-Rays $225

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Answer #1
1.Sol:-
$500 deductable, 20% Co-insurance, $15 co pay
Total Expenses Paid by Insurance Paid by you
Broken Finger- ER $350
X-Rays $225
Lab Tests $150
Prescription Drugs $25
1. Total Medicine Expense $750
2. Deductible $500 $500
3. Net Expense after deductible $200
4. 20% Co-insurance $40 $40
80% of Net Expense $160 $160
Doctor Visits - 3 @ $100 each $300
$15 Copay each visit $45 $45
Remaining Expenses $300 $300
Out-of-pocket Maximum $1,500 $1,500
Total Owned by you $2,085
Total Paid by insurance Company $460
2 Sol:-
$700 deductable, 15% Co-Insurance, $30 co pay
Total Expenses Paid by Insurance Paid by you
Head Injury- ER $660
MRI $1,200
Lab Tests $200
Prescription Drugs $85
1. Total Medicine Expense $2,145
2. Deductible $700 $700
3. Net Expense after deductible $1,445
4. 15% Co-insurance $216.75 $216.75
85% of Net Expense $ 1,228.25 $1,228.25
Doctor Visits -4@ $120 each $480
$30 Copay each visit $120 $120
Remaining Expenses $480 $480
Out-of-pocket Maximum $2,000 $2,000
Total Owned by you $3,037
Total Paid by insurance Company $1,708.75
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