Question

Amy has a group medical policy through him player with a $500 deductible and the 90% coinsurance provision. She encourages $1,500 in covered Health Care Services. How much will her group insurance carrier pay?

Answer 1

Amy's group insurance carrier will pay $1,350.

Step-by-step explanation:

Amy will have to pay the $500 deductible out-of-pocket before her group insurance carrier starts paying.

After paying the deductible, Amy will still be responsible for 10% of the remaining covered health care services. So, she will have to pay 10% of $1,500, which is $150.

Therefore, her group insurance carrier will pay $1,350 ($1,500 - $150).