Question
Consider a single individual with the following insurance plan: Annual deductible: $500 Coinsurance: 20% Annual Out of Pocket Maximum: $3,000 a) The individual undergoes a
Consider a single individual with the following insurance plan:
Annual deductible: $500
Coinsurance: 20%
Annual Out of Pocket Maximum: $3,000
a) The individual undergoes a medical test in January—the first medical expense of the calendar year—for which the negotiated price with their insurance plan is $336. How much should this individual expect to pay out of pocket for this service?
b) Suppose that in February of the same year, the individual had to undergo a procedure—the second medical expense of the calendar year—for which the negotiated price with insurance is $540. How much should this individual expect to pay out of pocket for this service?
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