how much money will a patient using this insurance plan have to pay for a $4,500 medical bill from an…

how much money will a patient using this insurance plan have to pay for a $4,500 medical bill from an emergency room visit? health insurance plan deductible $2,500 co - insurance 40% out - of - pocket max $5,000 emergency copay $400 primary copay $30

how much money will a patient using this insurance plan have to pay for a $4,500 medical bill from an emergency room visit? health insurance plan deductible $2,500 co - insurance 40% out - of - pocket max $5,000 emergency copay $400 primary copay $30

Answer

Explanation:

Step1: Pay the deductible first

The deductible is $2,500. The remaining bill after paying the deductible is $4500 - 2500=2000$.

Step2: Calculate co - insurance

The co - insurance is 40% of the remaining bill. So the co - insurance amount is $0.4\times2000 = 800$.

Step3: Calculate total out - of - pocket

The total amount the patient has to pay is the deductible plus the co - insurance amount, which is $2500+800 = 3300$. Since $3300<5000$ (out - of - pocket max), and we are dealing with an emergency room visit, we don't consider the primary copay. Also, the emergency copay is not applicable in this calculation as the deductible and co - insurance are calculated first.

Answer:

$3300$