Health Insurance 2

Question 1

1. What is the deductible per individual per benefit period?

Answer 1

$2,500

Question 2

2. What is Coinsurance?

Answer 2

The percentage of the allowed amount YOU PAY for covered services

Question 3

3. What is the coinsurance percentage?

Answer 3

10% in-network, 40% out-of-network

Question 4

OUT OF POCKET MAXIMUM:

a. Per individual per Benefit Period

Answer 4

$5,000 in-network, $10,000 out-of-network

Question 5

5. OUT OF POCKET MAXIMUM:

a. Per family per Benefit Period

Answer 5

N/A

Question 6

6. OUT OF POCKET MAXIMUM:

a. Medical Pharmacy, per individual, per calendar month

Answer 6

$200 in-network. N/A Out-of-network

Question 7

7. Amounts incurred for in-network services will be applied to:

Answer 7

will only be applied to the amounts listed in the in-network column and amounts incurred for out-of-network services will only be applied to the amounts listed in the out-of-network column, unless otherwise specified.