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8. Terms of payment for medical expense plans Dut 2 Pald Ny Premiums! Besides possibly paring the premiums for a medical indurance plan, the insuted

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8. Terms of payment for medical expense plans Dut 2 Pald Ny Premiums! Besides possibly paring the premiums for a medical indurance plan, the insuted is almost always responsible for making other, out-of-pocket payments. This practice helps keep overall costs down for both insureds and the insurance companies and ensures that insureds are informed about the colts of hoalth care. Far ench of the following sconsios, select which type of other cost or provision is ilustrated: Wul now start to pay sorne of her medical expenset. What does the $1,000 cepresent? Internal limits bedocibe Particlpotion (co-inumance) expenses ctroctes wit have to poy out of his pocket represent? Internal limits Pherdipaton (CD) insurance) Dectutiste Coorfination of benents Dirs has standard, personal medical insucance, After a receot accident, she visited the emergency roomi One of the questions on the adinission form asked if the accicent occurred at work: Deducuble Pithoptibor (co-insurance) Coordination of teneftis Thernarimits Giberto auffered a profound knee injury. Giberto ives in a remote part of the country and depends on being in excellent physical condition to wrork. Guberto has decided to be extra coutious when having his lonee repaired, He is going to a major orthopedic hospital 2,000 miles away and havina his surgery performed ty one of the top 10 knee specialats in the country, He slready knews that clains for the hothital services and the surgeon wil! cucesd the ressonable and customary charges for his area, Gilferto is willing to pay axtra for the pesce of mind of knowing he received exthobrinary care. Juanita, a oraphic artht, is 24 years old and has owned a major medical insurance policy for three years. The pollcy, which she purchased through her alumni associton, provides the following coveroge: Last month, Juanita was infured in an automobile acoldent, She spent 4 days in the hospital in a room that coat 5750 per day. incurred 54,000 for other medical expenses, and $22,000 in surgical expenses. Given these claim costh, complete the following table and answer the related questions Given these ciaim costs, complete the foliowing table and answer the related questions Based on this data, the total cost to the insurance company is - While the out-of-pocket cost to Juanita is How much did Juanita save by having her medical insurance policy? Assume that the hospital changed its payment policy to make the patient responsible for the difference between the hospital's room rate and the insurance company's responsibility ( $750 per day versus $500 per day). By how much would Juanita's out-of-pocket cost for her hospital roorn change due in hospital biling? Juanita's costs would increase by $600. Jusnita's costs woutd increase by $1,000 : Juanita's costs would increase by $400

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