$500 Per Admission Copay Compared to $1,500 Dedcuctible
(Both plans 80/20 with $20 physician copay)
Please note: the dollar amounts shown on this page are for demonstration purposes only and do not necessarily represent actual copayment or deductible amounts for FirstCarolinaCare Insurance Company, Inc. health plans.
| Case 1: Physician office visit with routine lab work ordered |
|
$500 Admission Copay |
$1,500 Deductible |
| Office Visit -$20 copay |
$20 |
$20 |
Lab Work $300 |
$60
|
$300 deductible |
| Member Cost |
$80 |
$320
|
| Case 2: Physician office visit with MRI exam ordered |
|
$500 Admission Copay |
$1,500 Deductible |
| Office Visit -$20 copay |
$20 |
$20 |
MRI $800 |
$100 copay
|
$800 deductible |
| Member Cost |
$20 |
$1,140
|
| Case 3: Admitted* to hospital overnight for observation |
|
$500 Admission Copay |
$1,500 Deductible |
| Hospital bill $2,000 |
$500 copay |
$400 deductible |
| |
$300 Coins |
$320 Coins |
Physician chgs $500 |
0
|
0 |
| Member Cost |
$1,000 |
$1,860
|
|
|
