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Understanding Co-Insurance

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A patient receives a medical procedure costing 1000andhasaninsurancepolicywith80/20coinsurance.1000 and has an insurance policy with 80/20 co-insurance.

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The insurance company covers 80% of the cost, so they pay 800.Thepatientisresponsiblefortheremaining20800. The patient is responsible for the remaining 20%, which is 200.

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A homeowner's policy has a 2000deductiblewith70/30coinsuranceforacoveredlossof2000 deductible with 70/30 co-insurance for a covered loss of 10000.

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First, the 2000deductibleissubtractedfromtheloss,leaving2000 deductible is subtracted from the loss, leaving 8000. The insurance pays 70% of 8000,whichis8000, which is 5600. The homeowner pays the remaining 30%, which is 2400.2400.

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An auto insurance policy has 50/50 co-insurance and a 500deductible,witharepairbillof500 deductible, with a repair bill of 4000.

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After the deductible, the remaining amount is 3500.With50/50coinsurance,boththeinsuranceandthepolicyholderpayhalf,whichis3500. With 50/50 co-insurance, both the insurance and the policyholder pay half, which is 1750 each.

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A business insurance with 90/10 co-insurance clause faces a claim of 25000,aftermeetingthedeductibleamount.25000, after meeting the deductible amount.

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The insurance company would pay 90% of the claim, amounting to 22500.Thebusinessneedstocontribute1022500. The business needs to contribute 10%, which would be 2500.

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If a policy with no deductible has a 60/40 co-insurance agreement and a surgery costs 15000,whatisthesplit?15000, what is the split?

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The insurer pays 60% of the total cost, which is 9000.Thepatientisresponsiblefor409000. The patient is responsible for 40%, which amounts to 6000.

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For a health policy with a 250deductibleand75/25coinsurance,howmuchwouldapolicyholderpayfora250 deductible and 75/25 co-insurance, how much would a policyholder pay for a 2000 medical expense?

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Subtract the deductible from the expense, leaving 1750.Thepolicyholderpays251750. The policyholder pays 25% of that, which is 437.50, plus the deductible, making a total of 687.50.687.50.

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