AAFM Exam CWM_LEVEL_2 Topic 6 Question 87 Discussion

Actual exam question for AAFM's CWM_LEVEL_2 exam

Question #: 87
Topic #: 6

Section C (4 Mark)

Read the senario and answer to the question.

Keshav purchased a Health Insurance. The policy has a calendar-year deductible of Rs. 500 and 80:20 as coinsurance. Keshav was hospitalized with a covered illness on January 23rd 2009. This hospitalization was his first claim under the said policy for the calendar year. His covered medical expenses were Rs. 20,500. How much of this amount will the insurer pay and how much will Keshav be required to pay to the Hospital?

AThe insurer will pay Rs. 16,500 and Keshav will pay Rs. 3,500

BThe insurer will pay Rs. 20,500 and Keshav will pay Rs. Nil

CThe insurer will pay Rs. 15,500 and Keshav will pay Rs. 4,500

DThe insurer will pay Rs. 20,000 and Keshav will pay Rs. 500

Show Suggested Answer

Suggested Answer: D

by Latrice at Sep 19, 2024, 04:20 AM

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25%

22 days ago

D seems like the right answer. Keshav has to pay the deductible of Rs. 500, and the insurer will cover the remaining 80% of the expenses, which is Rs. 20,000.

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Dominga

1 hours ago

Yes, that makes sense. The insurer will cover 80% of the expenses after the deductible.

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Vanesa

8 days ago

I think D is the correct answer. Keshav has to pay the deductible of Rs. 500.

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Cecilia

26 days ago

The policy has a calendar-year deductible of Rs. 500 and 80:20 as coinsurance. So, the insurer will pay 80% of the remaining amount after the deductible, which is Rs. 20,000.

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Felice

27 days ago

I think the correct answer is D. The insurer will pay Rs. 20,000 and Keshav will pay Rs. 500 since the deductible is Rs. 500 and the coinsurance is 80:20.

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Coral

6 days ago

Yes, the insurer will pay Rs. 20,000 and Keshav will pay Rs. 500.

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Coral

8 days ago

I think the correct answer is D.

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