An emergency room visit will cost an insured with Plan _____ the most in terms of emergency room copayments.
On average, in terms of copayments, an emergency room visit will cost insureds with PPO plans $ ______.
Such visits, on average, in terms of copayments, will cost insureds with HMO plans $ __________.
If I took the straight copayments from each plan, I'd have 2 answers for the first part of the question, but there should only be 1 answer, so I think I'm missing something.
HPEX 300 2018-2019 Health Care Financing and Managed Care: Plan Facts Note: The Plan Year for all Plans is Jan 1-Dcc PLANS ABC PPD KL PPO Group MNO HMO DEF HMD Individual GHI Plan Type Category PPO Individusl Pas % Premium Paid by Employer 100 50 90 Annual Single Premium3,341.10 5,200.20 | S 5.608.52 4.782.95 | S 6.680.35 Annual Family Premium S 7.151.05 S 10,451.48$12,000.00 14.024.00 Stop Gap? YES YES NO YES $1,400.00 s 1.500.00400.00 S 2,500.00 Annual Deductible1.300,00 $ Deductible Counts Toward Stop Gap? Copayments Count Toward Stop Gap? Copayment Na YES YES (PCP Specialist ED)S55/580/$375| $0/S0/S400 |$35/$60 s500 | $50, $75/$450 $0. $0/S425 |540/$65, $500 40% Coinsurance Hospital 25% 35% Coinsurance Laboratory 33% 35% 45% 20% 55% Maximum Out-of- Pocket 4.000.00 4,500.00 S 3.750.00 Out of Nctwork Coverage? Prescription Drug Benetit Prescriptlon Drug Co-Payments ND NO YES YES YES YES YES YES 20.00 45.50 75,00 125.00S Tier 15 Tier 2 $ Tier 3 $ 10.00$ 20.00$ 50.00$ 76.00$ 25.00 5 35.50 5 85.00 S 140.00|S 16.00 30.00 75.00 10.00 S 16.0 is 40.00 S 55.00 s 20.00 28.50 100.00 160.00 130.00$ Health Care Delivery in the U.S PaRe 1 of 2 HPEX 300 2018-2019 Health Care Financing and Managed Care: Plan Facts Note: The Plan Year for all Plans is Jan 1-Dcc PLANS ABC PPD KL PPO Group MNO HMO DEF HMD Individual GHI Plan Type Category PPO Individusl Pas % Premium Paid by Employer 100 50 90 Annual Single Premium3,341.10 5,200.20 | S 5.608.52 4.782.95 | S 6.680.35 Annual Family Premium S 7.151.05 S 10,451.48$12,000.00 14.024.00 Stop Gap? YES YES NO YES $1,400.00 s 1.500.00400.00 S 2,500.00 Annual Deductible1.300,00 $ Deductible Counts Toward Stop Gap? Copayments Count Toward Stop Gap? Copayment Na YES YES (PCP Specialist ED)S55/580/$375| $0/S0/S400 |$35/$60 s500 | $50, $75/$450 $0. $0/S425 |540/$65, $500 40% Coinsurance Hospital 25% 35% Coinsurance Laboratory 33% 35% 45% 20% 55% Maximum Out-of- Pocket 4.000.00 4,500.00 S 3.750.00 Out of Nctwork Coverage? Prescription Drug Benetit Prescriptlon Drug Co-Payments ND NO YES YES YES YES YES YES 20.00 45.50 75,00 125.00S Tier 15 Tier 2 $ Tier 3 $ 10.00$ 20.00$ 50.00$ 76.00$ 25.00 5 35.50 5 85.00 S 140.00|S 16.00 30.00 75.00 10.00 S 16.0 is 40.00 S 55.00 s 20.00 28.50 100.00 160.00 130.00$ Health Care Delivery in the U.S PaRe 1 of 2
