Question
Stanley is not happy as he needed to have surgery for a knee replacement after being hospitalized last year for elbow surgery. His total medical
Stanley is not happy as he needed to have surgery for a knee replacement after being hospitalized last year for elbow surgery. His total medical services invoice was $50,000. Stanley has a medical expense policy with a $1,000 deductible each calendar year and a $5,000 annual out-of-pocket limit. His coinsurance percentage is 20 percent. The out-of-pocket limit applies to coinsurance only. If this surgery and hospitalization were the first medical care that he received during the year and all of the hospital services were eligible for coverage under the policy, how much of the $50,000 bill will the insurer pay?
a. | $39,000
| |
b. |
$39,200
| |
c. |
$40,000
| |
d. |
$44,000
|
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