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Problem: Dave has medical coverage through a managed care plan. His plan has a $200 annual deductible, and an 80/20 payment scheme for in-network care. For out of network care, his deductible is $500 and there is a 50/50 payment scheme. He has received no medical care this year While playing basketball with friends, Dave injures his ankle and a friend takes him to the local emergency room. The total bill for care is $1,000.
Required:
Question 1: How much will Dave have to pay out of pocket if the emergency room is within his insurance network?
Question 2: How much will Dave have to pay out of pocket if the emergency room is NOT within his insurance network?
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