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Granny Clampett's health insurance policy has a $500 annual aggregate deductible, and 80/20 cost sharing deductible,...

Granny Clampett's health insurance policy has a $500 annual aggregate deductible, and 80/20 cost sharing deductible, and a $5,000 maximum annual out-of-pocket cap of $5,000. She wrecks her Harley and breaks her hip, and her total medical bills for the injury are $122,721. How much will her insurer pay for this claim?

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Answer #1

Medical bills for the injury =$ 122,721

less: deductible =500$

Amount to be shared =$122,221

80% to be paid by insurance co = 12390*0.8 =97,776.8$

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