Unfortunately, you have had several medical procedures in the current year with the following bills, $2,000, $9,200, $18,000, $5,000, and $3,500. Your deductible is $2,400, after which your co-pay is 10%. Your policy also includes a $6,000 out-of-pocket maximum clause. How much of the total bills are you responsible to pay?

Question

Quizplus · Accepted Answer

The correct answer is D. The total bills are $2,000 + $9,200 + $18,000 + $5,000 + $3,500 = $37,700. The deductible is $2,400, so the amount subject to the co-pay is $37,700 - $2,400 = $35,300. The co-pay is 10%, so the amount you are responsible to pay is $35,300 x 10% = $3,530. However, the policy also includes a $6,000 out-of-pocket maximum clause, so the maximum amount you are responsible to pay is $6,000.

Unfortunately, You Have Had Several Medical Procedures in the Current