In a Major Medical policy with an 80/20 coinsurance, after the deductible is satisfied, what percentage of eligible expenses is typically paid by the insurer?

In a Major Medical policy with an 80/20 coinsurance, after the deductible is satisfied, what percentage of eligible expenses is typically paid by the insurer?

• A. 20%
• B. 80%
• C. 100%
• D. 60%

Answer: (B)

Coinsurance after the deductible is met: in a Major Medical policy with an 80/20 arrangement, once you’ve satisfied the deductible, the insurer pays 80% of eligible (covered) expenses and you pay 20% until you hit the out-of-pocket maximum. For example, if a covered bill is $1,000 and the deductible is already satisfied, the insurer would cover $800 and you would owe $200.

Coinsurance after the deductible is met: in a Major Medical policy with an 80/20 arrangement, once you’ve satisfied the deductible, the insurer pays 80% of eligible (covered) expenses and you pay 20% until you hit the out-of-pocket maximum. For example, if a covered bill is $1,000 and the deductible is already satisfied, the insurer would cover $800 and you would owe $200.