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Q2. While travelling to Dammam, Qassim is admitted to hospital for major car accident and need major surgery. His maximum out-of-pocket is SR15,000. In your health insurance policy stated the following clause on coinsurance and deductible. Calendar year Deductible is equivalent to SR5,000 and Coinsurance is 25%. The following is the charges from the treatment: Outpatient x rays and tests is SR5,000 Ward and facility charges is SR20,000 Surgeon's fee is SR, 10,000 Prescription drugs is SR7, 000 Therapy expenses is SR 8,000 Plastic surgery is SR10,000 Dental is SR 5,000 Calculate how much you will get coverage from your insurance company based on the above charges. Your calculation will include: i. Deductible ii. Coinsurance iii. Total out of pocket iv. Total amount the insurance company will pay to you. Q2. While travelling to Dammam, Qassim is admitted to hospital for major car accident and need major surgery. His maximum out-of-pocket is SR15,000. In your health insurance policy stated the following clause on coinsurance and deductible. Calendar year Deductible is equivalent to SR5,000 and Coinsurance is 25%. The following is the charges from the treatment: Outpatient x rays and tests is SR5,000 Ward and facility charges is SR20,000 Surgeon's fee is SR, 10,000 Prescription drugs is SR7, 000 Therapy expenses is SR 8,000 Plastic surgery is SR10,000 Dental is SR 5,000 Calculate how much you will get coverage from your insurance company based on the above charges. Your calculation will include: i. Deductible ii. Coinsurance iii. Total out of pocket iv. Total amount the insurance company will pay to you

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