can answer the questions of the homework in reference to the standard benefits sheet and the case written on the homework sheet
Homework Insurance Activity on Applying E Communicating Insurance Terms Pick a partner. Have one person be the administrative medical assistant, and one be the patient. Here is your scenario: Iris and Hector Guzman and their children are new patients covered by a ppo insurance plan. Your doctor is a network provider (preferred provider) for their plan. You have verified their eligibility for the plan by checking their insurance cards and the computer system. (You can also verify eligibility by calling their insurance carrier.) You can see from the insurance card that their copayment is $10 for office visits [OV]. According to their plan, they have an annual deductible of $500 as well as coinsurance of 80/20. They have not made any payments on their deductible yet. See the attached Summary of Benefits/Statement of Benefits for the Guzmans. (Pay attention to the columns and the headings. Read that first paragraph. It's a PPO plan - ignore the textbook info. at the bottom starting to discuss HMO's.) Now, Iris takes her three children in to your doctor for routine well-child visits. Her children are ages 5 months, 3 years, and 8 years. The infant and 3 -year old receive immunizations. What amount will the Guzmans be required to payat the time of the visit? What should they expect to pay later? Your task: Answer the questions above and communicate in language that the patient (your partner) can understand. Your partner should give you feedback. (Is your answer accurate? Does it make sense to you?) Now, switch roles and use the new question below: Iris, age 41, also receives her annual physical and screening mammogram. What amount will the Guzmans be required to pay for this? r0n1!10 Homework Insurance Activity on Applying E Communicating Insurance Terms Pick a partner. Have one person be the administrative medical assistant, and one be the patient. Here is your scenario: Iris and Hector Guzman and their children are new patients covered by a ppo insurance plan. Your doctor is a network provider (preferred provider) for their plan. You have verified their eligibility for the plan by checking their insurance cards and the computer system. (You can also verify eligibility by calling their insurance carrier.) You can see from the insurance card that their copayment is $10 for office visits [OV]. According to their plan, they have an annual deductible of $500 as well as coinsurance of 80/20. They have not made any payments on their deductible yet. See the attached Summary of Benefits/Statement of Benefits for the Guzmans. (Pay attention to the columns and the headings. Read that first paragraph. It's a PPO plan - ignore the textbook info. at the bottom starting to discuss HMO's.) Now, Iris takes her three children in to your doctor for routine well-child visits. Her children are ages 5 months, 3 years, and 8 years. The infant and 3 -year old receive immunizations. What amount will the Guzmans be required to payat the time of the visit? What should they expect to pay later? Your task: Answer the questions above and communicate in language that the patient (your partner) can understand. Your partner should give you feedback. (Is your answer accurate? Does it make sense to you?) Now, switch roles and use the new question below: Iris, age 41, also receives her annual physical and screening mammogram. What amount will the Guzmans be required to pay for this? r0n1!10
