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Copay Compared to Deductible

$500 Per Admission Copay Compared to $1,500 Deductible

(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 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