Question

Question 10 10 pts Suppose you have a health insurance plan with... • $2,000 deductible • 20% coinsurance • $9.000 out-of-pocket maximum For a surgery that costs $21,000, what will you end up paying out-of-pocket?

Answer 1

	CALCULATION OF OUT OF POCKET EXPENSES IN HEALTH PLAN
	Option 1:
	Deductible $ 2,000
	Surgery Cost =	$             21,000
	Less: Deductible	$                2,000
	Balance paid by insurance company	$             19,000
	Out of Pocket expenses = $ 2,000
	Answer = $ 2,000
	Option 2:
	20% Coinsurance
	Surgery Cost =	$             21,000
	Less: 20% Coinsurance means paid by sel	$                4,200
	Balance paid by insurance company	$             16,800
	Out of Pocket expenses = $ 4,200
	Answer = $ 4,200
	Option 3:
	$ 9,000 Out of Pocket expenses
	Surgery Cost =	$             21,000
	Less: Out of pocket maximum	$                9,000
	Balance paid by insurance company	$             12,000
	Out of Pocket expenses = $ 9,000
	Answer = $ 9,000