Answered step by step
Verified Expert Solution
Question
1 Approved Answer
Find the cost of each medical incident for the following plans. Assume that this is their first incident of the year for each incident. Remember:
Find the cost of each medical incident for the following plans. Assume that this is their first incident of the year for each incident. Remember: You pay 100% of all claims until you reach your deductible. Then you pay your coinsurance until you hit your out of pocket maximum See the example in the first box. MAKE SURE IF, AFTER CALCULATIONS, YOUR TOTAL IS MORE THAN YOUR OUT OF POCKET MAX, THAT YOU JUST PUT THE OUT OF POCKET. THAT IS THE MOST YOU WOULD PAY. Premium Type Network Plan Coverage Monthly $450 Medium monthly, Medium Deductible, Low Coinsurance In Out Deductible $750 Deductible $3000 Out of Pocket $3000 Out of Pocket $6000 Coinsurance 10% Coinsurance 10% Pay deductible ($750) Pay deductible ($3000) Left over $11,250 Left over $9,000 You pay 10% of that You pay 10% of that 11,250 * 10% (0.1) = 1125 9,000. 10% (0.1) = 900 So you pay 750 (deductible) So you pay 3000 (deductible) + 1125 (coinsurance) +900 (coinsurance) = $1875 = $3900 EXAMPLE Ambulance Ride $12,000 Carpal Tunnel $2900 Brain MRI $2500 Child Birth $4200 Chest x-Ray $366 Appendix $15,000 Gallbladder $94,897 C-section birth $30,000 Coronary Bypass $40,000 Find the cost of each medical incident for the following plans. Assume that this is their first incident of the year for each incident. Remember: You pay 100% of all claims until you reach your deductible. Then you pay your coinsurance until you hit your out of pocket maximum See the example in the first box. MAKE SURE IF, AFTER CALCULATIONS, YOUR TOTAL IS MORE THAN YOUR OUT OF POCKET MAX, THAT YOU JUST PUT THE OUT OF POCKET. THAT IS THE MOST YOU WOULD PAY. Premium Type Network Plan Coverage Monthly $450 Medium monthly, Medium Deductible, Low Coinsurance In Out Deductible $750 Deductible $3000 Out of Pocket $3000 Out of Pocket $6000 Coinsurance 10% Coinsurance 10% Pay deductible ($750) Pay deductible ($3000) Left over $11,250 Left over $9,000 You pay 10% of that You pay 10% of that 11,250 * 10% (0.1) = 1125 9,000. 10% (0.1) = 900 So you pay 750 (deductible) So you pay 3000 (deductible) + 1125 (coinsurance) +900 (coinsurance) = $1875 = $3900 EXAMPLE Ambulance Ride $12,000 Carpal Tunnel $2900 Brain MRI $2500 Child Birth $4200 Chest x-Ray $366 Appendix $15,000 Gallbladder $94,897 C-section birth $30,000 Coronary Bypass $40,000
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