Chris had surgery and the total bill for medical services was $60,000. Jose has a Preferred Provider Organization (PPO) policy with a $1,000 calendar-year deductible and a $5,000 maximum out-of-pocket limit (aka "stop-loss"). His coinsurance percentage is 20 percent. The out-of-pocket limit applies to coinsurance only. Assuming this hospitalization was the first medical care that Chris received during the year and that all of the hospital services were eligible for coverage under the policy, how much of the $50,000 bill will Chris have to pay?

1. A.  $1,000               B.  $6,000          C. $5,000           D $12,800

Answer rating: 100% (QA)

C 5000 Jose will pay 5000 as that is his stop loss which means ... View the full answer