Scenario: If you have a plan with a deductible of $1,500, a 20% coinsurance after deductible, and you have already met the deductible, what is your coinsurance on a $2,500 bill?

Scenario: If you have a plan with a deductible of $1,500, a 20% coinsurance after deductible, and you have already met the deductible, what is your coinsurance on a $2,500 bill?

• A. $50
• B. $1,000
• C. $500
• D. $2,000

Answer: (C)

The main idea is understanding how coinsurance applies once the deductible is already met. When you’ve already met the deductible, the remaining bill is shared according to coinsurance. Here, the bill is 2,500 and you pay 20% as coinsurance. 20% of 2,500 equals 500, so your coinsurance amount is 500. The insurer would cover the other 2,000. For context, if the deductible hadn’t been met yet, you’d first pay the deductible amount (1,500) and then coinsurance on the remaining balance, which would change your out-of-pocket amount.

The main idea is understanding how coinsurance applies once the deductible is already met. When you’ve already met the deductible, the remaining bill is shared according to coinsurance. Here, the bill is 2,500 and you pay 20% as coinsurance. 20% of 2,500 equals 500, so your coinsurance amount is 500. The insurer would cover the other 2,000. For context, if the deductible hadn’t been met yet, you’d first pay the deductible amount (1,500) and then coinsurance on the remaining balance, which would change your out-of-pocket amount.