Healthcare Transaction

A patient with private insurance goes to the doctor once to get service. The total cost for the physician’s service was $10,000. The insurance terms are:

  1. $50 co-pay per visit.
  2. $500 deductible (assume co-payment counts toward deductible).
  3. After the deductible, the costs are split 80/20:
    1. 80% insurance company; and
    2. 20% patient.
  4. A “stop-loss” provision of $8,000

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