coinsurance and deductable

Question

zach had surgery which was his third claim of the year he had a bill of $5000. considering the prior visits, what is zach's typo for this bill and what is the responsibility of the insurance carrier

Answer 1

To help Zach know what he should pay and what his insurance should pay for this service, we would have to know the following things:

1. Did the doctor who did the $5000 service participate in Zach's plan?
2. How much is the deductible ? How much was met?
3. How much of the other 2 visits/services that year went toward the deductible?
4. What is Zach's copay/coinsurance for that service that was billed at $5000?
5. How much does the insurance company allow for that $5000 service?