With a deductible of $200 and an 80/20 coinsurance, if the remaining eligible expenses after deductible are $600, how much does the insurer pay?

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Multiple Choice

With a deductible of $200 and an 80/20 coinsurance, if the remaining eligible expenses after deductible are $600, how much does the insurer pay?

Explanation:
After the deductible is satisfied, coinsurance applies to the remaining eligible expenses. Here, $200 is paid first as the deductible, leaving $600 eligible expenses. With an 80% coinsurance, the insurer covers 80% of $600, which is $480. So the insurer pays $480, and the patient would owe $120 as coinsurance on that amount (in addition to the deductible already paid).

After the deductible is satisfied, coinsurance applies to the remaining eligible expenses. Here, $200 is paid first as the deductible, leaving $600 eligible expenses. With an 80% coinsurance, the insurer covers 80% of $600, which is $480. So the insurer pays $480, and the patient would owe $120 as coinsurance on that amount (in addition to the deductible already paid).

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