Question
Example Plan Benefits for In-Network Care Bronze Silver (No CSR) Gold Platinum Deductible $5,500 $2,500 Med/$250 Rx $0 $0 Preventive $0 $0 $0 $0 Doctors
Example Plan Benefits for In-Network Care
| Bronze | Silver (No CSR) | Gold | Platinum |
Deductible | $5,500 | $2,500 Med/$250 Rx | $0 | $0 |
Preventive | $0 | $0 | $0 | $0 |
Doctors Office Visits | $50 | $30 | $30 | $15 |
Specialist | 30% co-insurance after deductible | $70 | $65 | $50 |
Generic Rx | $15 after deductible | $15 | $15 | $10 |
Preferred Brand RX | 50% co-insurance after deductible | 50% co-insurance after deductible | 40% | $50 |
Lab Testing | $0 | $0 | $0 | $0 |
X-ray | 50% co-insurance after deductible | 30% co-insurance after deductible | $60 | $40 |
Maternity | $7,410 | $5,350 | $2,110 | $710 |
Out-patient Surgery | 50% co-insurance after deductible | 30% co-insurance after deductible | 20% co-insurance | $50 |
Hospital Stay | 25% co-insurance, after deductible | 25% co-insurance, after deductible | $750 copay per day | $300 copay per day |
ER Visit | 50% co-insurance after deductible | 30% co-insurance after deductible | $350 | $250 |
Urgent Care | 50% co-insurance after deductible | 30% co-insurance after deductible | $100 | $100 |
*Based on 2018 plan year for Independence Blue Cross Personal Choice PPO Bronze, Silver, Gold, and Platinum plans
Worksheet (you only need to turn in this page, you can delete pages 1-15 if you wish)
Student Name:
Choice 1:
Choice 2:
Did you enter your income as 2020 dollars or % of poverty?
Jacks annual income is about $18,000, which is equal to 148% of poverty.
Complete the worksheet based on your adventure (2 points):
For any calculations you do, please show your work.
Expense | Amount you were responsible for paying |
Monthly Premium: |
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Annual Premiums: |
|
Physician Visit: |
|
Inpatient Hospitalization (if relevant): |
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Preventive Visit (if relevant): |
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Payment to IRS (if relevant): |
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Total Expenses for the year: |
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- Do you think Jack made a good choice regarding his initial enrollment in health insurance for the year? Why? (2 points)
- Based on this adventure, what do you consider to be some of the biggest strengths of the Affordable Care Act? (2 points)
- Based on this adventure, what do you consider to be some of the biggest shortcomings of the Affordable Care Act? (2 points)
- What do you think should be the goal of healthcare reform going forward? (2 points)
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