Using the same J's policy (2,000 deductible, 80/20 coinsurance), if the total medical bill were $6,000, how much would J pay?

Using the same J's policy (2,000 deductible, 80/20 coinsurance), if the total medical bill were $6,000, how much would J pay?

• A. 2,000
• B. 2,600
• C. 2,800
• D. 3,400

Answer: (C)

In this policy, you must pay the deductible first, then coinsurance applies to the remaining eligible expenses. With a 2,000 deductible, the first 2,000 of the 6,000 bill is paid by you. This leaves 4,000 to be shared under the 80/20 coinsurance, so you pay 20% of 4,000, which is 800. The insurer covers 80% of the 4,000, which is 3,200. Your total out-of-pocket is 2,000 + 800 = 2,800.

In this policy, you must pay the deductible first, then coinsurance applies to the remaining eligible expenses. With a 2,000 deductible, the first 2,000 of the 6,000 bill is paid by you. This leaves 4,000 to be shared under the 80/20 coinsurance, so you pay 20% of 4,000, which is 800. The insurer covers 80% of the 4,000, which is 3,200. Your total out-of-pocket is 2,000 + 800 = 2,800.