Question

On the first day of the year, while covered as an individual under the Standard Plan and using in-network doctors, Jackie broke her leg while skiing. She incurred the following bills: ambulance ride to hospital, emergency room services, X-Ray of her broken leg ($530) and outpatient surgery to repair the broken leg ($10,000). How much would Jackie pay out-of-pocket for her surgery?

Answer 1

Jackie would have to pay a total of $2,800 out-of-pocket for her surgery.

Step-by-step explanation:

Jackie would have to pay the deductible and coinsurance for her outpatient surgery to repair her broken leg. Let's assume that her plan has a $1,000 deductible and 20% coinsurance. First, she would have to pay the deductible, which means she would have to pay the first $1,000 of the surgery cost. After that, she would have to pay 20% of the remaining cost, which is $10,000 - $1,000 = $9,000. So Jackie would have to pay $1,000 for the deductible and 20% of $9,000, which is $1,800. Therefore, Jackie would pay a total of $1,000 + $1,800 = $2,800 out-of-pocket for her surgery.