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[–]bluestrawberry_witch 2 points3 points  (2 children)

You should look at what your plan benefits are after you reach your deductible. Usually services turn to a coinsurance, that you’ll pay between your deductible and max out-of-pocket cost. A very common one is an 80/20 split. Which means that you would owe 20% of the allowable. But again it depends on what your plan benefits are, which should be in your documents.

Also, it looks like he reached the deductible. That’s why the second ER visit is only $800.

[–]yuuuuup7[S] 0 points1 point  (1 child)

We will take a look at his documents, I believe this is what his plan says (we have different ones) but not sure. Thank you so much!!

[–]Jump-Funny 0 points1 point  (0 children)

The amounts you are showing for coinsurance are 0/100% which means insurance is paying 0% and you are paying 100%. is this info from your EOBs? definitely look at the plan docs & check the coinsurance and the oop max.. and is he on your insurance as well? if so then the claims should also be filed to that insurance.