Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

Cho, a graphic artist, is 24 years old and has owned a major medical insurance policy for three years. The policy, which she purchased through

Cho, a graphic artist, is 24 years old and has owned a major medical insurance policy for three years. The policy, which she purchased through her alumni association, provides the following coverage:

a $1,000,000 lifetime limit
a $2,500 deductible and 80% coinsurance clause
internal limits of $250 per day for a semi-private room and board, $4,500 per occurrence for x-rays, prescription drugs, and other medical expenses, and a $45,000 maximum limit per occurrence on surgical procedures
a $25,000 limit per occurrence on rehabilitation and physical therapy
if a hospital charges a room rate that is greater than the policys stated internal limit, the hospital agrees to reduce the room rate to the policys internal limit.

Last month, Cho was injured in an automobile accident. She spent 4 days in the hospital in a room that cost $350 per day, incurred $3,850 for other medical expenses, and $32,000 in surgical expenses.

Given these claim costs, complete the following table and answer the related questions

Policy Limit

Total Claim

Hospital charges $250 per day $_____
Surgery costs

$____

$_____
Other medical costs

$_____

$_____

Rehabilitation and therapy costs

$_____

$_____

Deductible

$_____

$_____
Co-insurance percentage

%_______
Total cost of claim

$_______

Based on this data, the total cost to the insurance company is $_____, while the out-of-pocket cost to Cho is $______. How much did Cho 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 hospitals room rate and the insurance companys responsibility ($350 per day versus $250 per day). By how much would Chos out-of-pocket cost for her hospital room change due in hospital billing ?

A.) Chos costs would increase by $120.

B.) Chos costs would increase by $400.

C.) Chos costs would increase by $280.

Step by Step Solution

There are 3 Steps involved in it

Step: 1

blur-text-image

Get Instant Access to Expert-Tailored Solutions

See step-by-step solutions with expert insights and AI powered tools for academic success

Step: 2

blur-text-image

Step: 3

blur-text-image

Ace Your Homework with AI

Get the answers you need in no time with our AI-driven, step-by-step assistance

Get Started

Recommended Textbook for

Financial Institutions Investments And Management An Introduction

Authors: Herbert B. Mayo

8th Edition

0324178174, 9780324178173

More Books

Students also viewed these Finance questions

Question

Write a research paper on "Employment Discrimination"

Answered: 1 week ago

Question

1. What is the difference between exempt and nonexempt jobs?pg 87

Answered: 1 week ago