|
| |
Definitions & Example
Example:
Policyholder "Bob" has a medical insurance plan with an Annual Deductible of $1,000
and Coinsurance of 80/20 of $10,000. He had a medical situation where
his bill came to a total of $50,000 in covered medical
expenses.
|
Medical Bill = $50,000 in
covered expenses |
Insurance
Plan pays: |
Policyholder pays: |
|
Deductible
|
|
$ 1,000 |
|
Coinsurance (20%
of $10,000) |
|
$ 2,000 |
|
Coinsurance (80%
of $10,000) |
$ 8,000 |
|
|
Balance up to
maximum benefit |
$39,000 |
|
|
Total amount
policyholder
pays: |
|
$
3,000 |
|
Total amount
insurance provider pays: |
$47,000 |
|
=================================================================
PowerPoint Presentation Example
If you don't
already have Microsoft's PowerPoint software, you may download a small
FREE program to view the presentation.
Download Free PowerPoint v2003
Viewer
Picture
PDF Example
Above examples are intended to portray general
health insurance in-network information only - refer to health certificate
policy for actual benefits or contact an agent for specific information on your
plan.
|
