14. Don Phife owns a traditional indemnity health insurance policy with a $500 calendar-year deductible, 75...
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14. Don Phife owns a traditional indemnity health insurance policy with a $500 calendar-year deductible, 75 percent coinsurance provision for the insurance company, and a $5,000 out-of- pocket cap (any deductible paid is included in the out-of-pocket tally). Find the amount that the INSURED would pay for each of the following expenses that occurred in the same calendar year. Show work for partial credit: a. On January 15, Don broke a leg and incurred medical expenses of $800. b. On April 23, Don consulted a cardiologist about chest pain he had experienced and was billed $400. c. On June 11, Don was admitted to the hospital for diagnostic testing in relation to the chest pain that he had experienced. His expenses totaled $3,000. d. On July 22, Don suffered a heart attack and was hospitalized for several days with bills of $4,000. e. On November 3, Don underwent open-heart surgery, spent two weeks in the hospital, and incurred medical charges of $45,000. f. On December 24, Don decided to have cosmetic surgery to change the look of his nose. The surgery is not considered medically necessary and costs $6,000. ANSWERS January 15 $ April 23 June 11 July 22 November 3 $_ December 24 $_ 14. Don Phife owns a traditional indemnity health insurance policy with a $500 calendar-year deductible, 75 percent coinsurance provision for the insurance company, and a $5,000 out-of- pocket cap (any deductible paid is included in the out-of-pocket tally). Find the amount that the INSURED would pay for each of the following expenses that occurred in the same calendar year. Show work for partial credit: a. On January 15, Don broke a leg and incurred medical expenses of $800. b. On April 23, Don consulted a cardiologist about chest pain he had experienced and was billed $400. c. On June 11, Don was admitted to the hospital for diagnostic testing in relation to the chest pain that he had experienced. His expenses totaled $3,000. d. On July 22, Don suffered a heart attack and was hospitalized for several days with bills of $4,000. e. On November 3, Don underwent open-heart surgery, spent two weeks in the hospital, and incurred medical charges of $45,000. f. On December 24, Don decided to have cosmetic surgery to change the look of his nose. The surgery is not considered medically necessary and costs $6,000. ANSWERS January 15 $ April 23 June 11 July 22 November 3 $_ December 24 $_
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