Answered step by step
Verified Expert Solution
Question
1 Approved Answer
Bill and Brenda are considering changing from their current HMO to a PPO with a 8 0 / 2 0 coinsurance provision in - network,
Bill and Brenda are considering changing from their current HMO to a PPO with a coinsurance provision innetwork, a coinsurance provision outofnetwork, and annual deductibles of $ per person and $ for the family. Preventive care is covered at no charge and hospital stays are covered You are the HR representative and Bill asks you to explain to him how coverage for expenses will be different.
Identify and briefly describe the major differences between HMOs and PPOs to Bill and Brenda.
For one of the events above, mathematically explain to Bill how the payment for the services would be different specifically how much would the PPO pay in comparison to the HMO
Step by Step Solution
There are 3 Steps involved in it
Step: 1
Get Instant Access to Expert-Tailored Solutions
See step-by-step solutions with expert insights and AI powered tools for academic success
Step: 2
Step: 3
Ace Your Homework with AI
Get the answers you need in no time with our AI-driven, step-by-step assistance
Get Started