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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.
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
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