coinsurance_simulator
[Taxonomy III.49 — baseline response (public data only)] Simulate member coinsurance exposure across plan-design variants.
WHEN TO USE: User wants to model their coinsurance share of a post-deductible charge. Pass charge_usd and optionally coinsurance_rate.
WHEN NOT: For flat-copay services (copay_model).
EXAMPLES:
Simulate 20% coinsurance on $1K:
{"charge_usd":1000,"coinsurance_rate":0.2}
Tool call template
Replace each placeholder with a value matching the input schema. Only required parameters are included; add optional parameters as needed.
{
"id": 1,
"jsonrpc": "2.0",
"method": "tools/call",
"params": {
"arguments": {
"charge_usd": "<charge_usd>"
},
"name": "coinsurance_simulator"
}
}Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| charge_usd | Yes | ||
| coinsurance_rate | No | Coinsurance rate as a decimal (e.g. 0.20 for 20%). Default is KFF 2024 avg (18%). |