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Excess calculator

Final invoice amount?

*

Unrelated treatment on invoice?

*

Unrelated treatment on invoice?

A

Yes

Unrelated treatment on invoice?

B

No

Fixed excess:

*

Percentage excess:

*

Percentage excess:

A

None

Percentage excess:

B

5%

Percentage excess:

C

10%

Percentage excess:

D

15%

Percentage excess:

E

20%

Percentage excess:

F

25%

Family Health Plan?

*

Family Health Plan?

A

Yes

Family Health Plan?

B

No