Stephanie was injured in a car accident was rushed to the emergency room. she received stitches for a facial wound and treatment for a broken finger. under stephanie's ppo plan, emergency room care at a network hospital is 80 percent covered after the member has met a $300 annual deductible. assume that stephanie went to a hospital within her ppo network. her total emergency room bill was $850. what amount did stephanie have to pay? what amount did the ppo cover?

Hence,

the amount paid by the Stephanie = $410

The amount covered by PPO = $440

Explanation:

Given:

Percent covered by the insurance = 80%

Annual deductible = $300

Total emergency room bill = $850

Now,

The Coinsurance expenses = Total expenses − Annual deductible

or

The Coinsurance expenses = $850 - $300 = $550

The amount covered by PPO

= Percent covered × Coinsurance expenses

= 0.80 × $550 = $440

Therefore,

the amount paid by the Stephanie

= Annual deductible + (Coinsurance expenses - amount covered by PPO)

= $300 + $550 - $440 = $410

Hence,

the amount paid by the Stephanie = $410

The amount covered by PPO = $440

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