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Sylvia recently had her appendix removed.  Her total bill for the surgery, which was her only healthcare...

  1. Sylvia recently had her appendix removed.  Her total bill for the surgery, which was her only healthcare expense for the year, came to $11,500.  Her health insurance plan has a $500 annual deductible and an 80/20 coinsurance provision. The cap on Sylvia’s coinsurance share is $1,500.

A. How much of the bill will Sylvia pay?

B. How much of the bill will be paid by Sylvia’s insurance?

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Answer #1
$
insurance bill 11500
annual deductible 500
coinsurance 80/20
i.e. coinsurance share of her 2300
and that of company 9200
cap on her coinsurance share 1500
so company will share 10000
on coinsurance
Sylvia shall pay on coinsurance 1500+500
(effective annual cost) i.e.2000
Sylvia's insurance company shall pay 10000-500
(effective annual cost) i.e.9500
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