Kristen has an individual medical expense policy with a 1,000 calendar-year deductible, a 5,000 annual out-of-pocket limit, and a 20 percent coinsurance requirement.
Kristen was hospitalized for a surgical procedure in March, her first health care treatment received during the year. The total bill was 20,000. Considering the deductible and coinsurance, how much of this amount must Kristen pay?
A) 4,400
B) 4,800
C) 5,000
D) 5,100
Question 2
Dirk required surgery for a kidney impairment. His total bill for medical services was 50,000. Dirk has a medical expense policy with a 1,000 calendar-year deductible and a 5,000 annual out-of-pocket limit.
His coinsurance percentage is 20 percent. The out-of-pocket limit applies to coinsurance only. Assuming this surgery and hospitalization were the first medical care that Dirk received during the year and that all of the hospital services were eligible for coverage under the policy, how much of the 50,000 bill will the insurer pay?
A) 39,000
B) 39,200
C) 40,000
D) 44,000
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