Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

1. Define the following (use 2 references for the definitions): a. Co-Pay b. Co-Insurance c. Insurance Premium d. Deductible e. Out of Pocket Maximum 2.

image text in transcribed

1. Define the following (use 2 references for the definitions): a. Co-Pay b. Co-Insurance c. Insurance Premium d. Deductible e. Out of Pocket Maximum 2. Work out the following problem: Professor Cooke has health insurance through her work. Her portion of the premium is $220/ month. The coverage is as follows: Preventive Care: Covered 100\% Annual Plan Year Deductible: $600 Annual Out-of-Pocket Maximum-In Network: $3000 Primary Care Physician Office Visit: 100% covered, subject to a $20 copay Specialist Office Visit: 100% covered, subject to a $40 copay Lab Services 100% covered subject to a $30 copay X-rays including diagnostic imaging: 100%, subject to a $30 copay Inpatient Hospital Services: 100% covered, subject to a $800 copay Outpatient surgery: 100% covered, subject to a $400 copay Emergency Department: $150 copay, waived if admitted gets a referral for a mammogram. The bill from her PA is $280.00. The bill for her mammogram is $450.00. How much does she owe for both services? work. doctor bill is $225 and the MRI is $1600. What is the total amount Professor Cooke owes the providers at this point? Please explain and show work surgeon? Who pays the remaining amount? Please explain and show work

Step by Step Solution

There are 3 Steps involved in it

Step: 1

blur-text-image

Get Instant Access to Expert-Tailored Solutions

See step-by-step solutions with expert insights and AI powered tools for academic success

Step: 2

blur-text-image

Step: 3

blur-text-image

Ace Your Homework with AI

Get the answers you need in no time with our AI-driven, step-by-step assistance

Get Started

Recommended Textbook for

Public Finance In Theory And Practice

Authors: Holley Ulbrich

2nd Edition

041558597X, 978-0415585972

More Books

Students also viewed these Finance questions

Question

11. Are your speaking notes helpful and effective?

Answered: 1 week ago

Question

The Goals of Informative Speaking Topics for Informative

Answered: 1 week ago