Invented Offer A costs $480 for the period and has a $3,000 annual insurer-payment limit. Invented Offer B costs $600 and has a $10,000 limit. Both have a $500 annual deductible and reimburse 80% after that deductible. The three veterinary bills below are fully eligible, occur within one policy period and face no other exclusions or sublimits. There are no earlier claims. These are fictional teaching terms, not actual quotes or a named provider’s formula.
| Invoice in chronological order | Deductible remaining afterward | A pays on this invoice | B pays on this invoice |
|---|---|---|---|
| $300 first invoice | $200 | $0 | $0 |
| $700 second invoice | $0 | $400 | $400 |
| $4,000 third invoice | $0 | $2,600 | $3,200 |
The first $300 earns deductible credit even though neither offer pays a benefit. On the second invoice, only the remaining $200 deductible is applied. The other $500 is multiplied by 80%, giving a $400 payment under each offer.
The deductible is now satisfied. On the third invoice, the uncapped calculation is $4,000 multiplied by 80%, or $3,200. But A has only $2,600 left after its earlier $400 payment, so it pays $2,600. B has sufficient capacity for the full $3,200.
Across all three invoices, veterinary spending is $5,000. A pays $3,000 in total, so the owner retains $2,000 and pays $480 of premium: $2,480 altogether. B pays $3,600, leaving $1,400 plus $600 of premium: $2,000 altogether. B costs $480 less in this particular sequence, even though its premium is $120 higher.