Question
Cho, an accountant, is 24 years old and has owned a major medical insurance policy for three years. The policy, which she purchased through her
Cho, an accountant, is 24 years old and has owned a major medical insurance policy for three years. The policy, which she purchased through her employer, provides the following coverage:
a $1,000,000 lifetime limit | |
a $1,000 deductible and 80% coinsurance clause | |
internal limits of $300 per day for a semi-private room and board, $3,000 per occurrence for x-rays, prescription drugs, and other medical expenses, and a $30,000 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 when she was struck by a car while riding her bike to work. She spent 5 days in the hospital in a room that cost $450 per day, incurred $2,000 for other medical expenses, and $18,000 in surgical expenses.
Given these claim costs, complete the following table and answer the related questions
Policy Limit | Total Claim | |
---|---|---|
Hospital charges | $300 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 ($450 per day versus $300 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 $300.
B. Chos costs would increase by $450.
C. Chos costs would increase by $750.
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