You are trying to help your aunt figure out how much she owes on a recent flurry of medical bills that resulted from her recent bypass surgery. Her company provided PPO plan includes the following provisions, $2,400 deductible, 10% co-pay and a $6,000 maximum out-of-pocket limit. You have summarized her bills as follow: doctor visits $1,500, surgeon and other docs $16,000, operating room $15,000, hospital stay $21,000, rehabilitative service $10,000. How much does she owe in total on these enormous bills?

Question

Quizplus · Accepted Answer

First, add all the medical bills: $1,500 (doctor visits) + $16,000 (surgeon and other docs) + $15,000 (operating room) + $21,000 (hospital stay) + $10,000 (rehabilitative service) = $63,500. The plan includes a $2,400 deductible, which must be paid first. After the deductible, the co-pay is 10% of the remaining costs. However, there's a $6,000 out-of-pocket maximum, which includes the deductible. Given the total costs far exceed this limit, the maximum amount she would owe is $6,000, regardless of the total bill amounts.

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