Maria has a chronic disease, a kidney disease, and needs dialysis. The cost is $73,000 a year, subject to a $1,000 deductible, 20% co-insurance plus 12 doctor visits at $250 each with a $50 co-pay per visit. If she has a 20% co-insurance and no out-of-pocket maximum, Marie would have to pay $1,000 plus $14,400 plus $600, or $16,000.
This payment is, potentially, $16,000 every year since the disease is chronic. With a $3,000 out-of-pocket maximum, which includes the deductible, co-pays, and co-insurance, the medical expense is capped at how much per year?