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the watson family has a family medical policy that provides the following coverage: $250/person deductible (three-person maximum). $1,000 out-of-pocket limit. 80/20 coinsurance provision. on a family trip, the watsons were involved in a car accident. four family members were hurt. each person incurred medical expenses of $7,500. how much will the insurance company pay?

User Hungr
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The insurance company will pay $23,200 towards the family's medical expenses.

The Watson family has a family medical policy with a $250 deductible per person, with a maximum of three people.

The policy also has a $1,000 out-of-pocket limit and an 80/20 coinsurance provision.

In this case, four family members were injured and each incurred medical expenses of $7,500.

To calculate how much the insurance company will pay, we can follow these steps:

Calculate the total expenses incurred by the four family members: $7,500 x 4 = $30,000

Apply the deductible: Since the deductible is $250 per person, the total deductible for four people is $250 x 4 = $1,000.

This deductible is subtracted from the total expenses: $30,000 - $1,000 = $29,000

Apply the coinsurance provision: The coinsurance provision states that the insurance company will cover 80% of the expenses.

The remaining 20% is the responsibility of the policyholder.

In this case, the insurance company will pay 80% of $29,000 = $23,200

Check the out-of-pocket limit: The out-of-pocket limit is $1,000.

Since the deductible and coinsurance payments add up to less than $1,000 in this case, the insurance company will cover the full $23,200.

Therefore, the insurance company will pay $23,200 towards the family's medical expenses.

User Christian Tremblay
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