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In 2 0 2 0 , Rajiv became responsible for providing his own health insurance. He obtained suitable coverage and paid annual premiums as shown
In Rajiv became responsible for providing his own health insurance. He obtained suitable coverage and paid annual premiums as shown in the following table. Compute Rajivs total premiums:
Rajivs Premiums
$
Total
$
Except for an occasional minor illness requiring a doctors attention, a drug prescription, and periodic, routine tests, Rajiv enjoyed good health during those years. Because he had no reason to think that would change, by the end of Rajiv was considering dropping his health insurance coverage. After all, he could think of a lot of other uses for the thousands of dollars he spent each year on increasing premiums. Rajiv decided to pay premiums for another year but planned to take another look at his health care plan at the end of
It Could Happen to You, It Could Happen to Me
In December Rajiv accepted an invitation from friends to go snowboarding. Rajiv did everything right: took a lesson, stayed on trails well within his skill level, and maintained an awareness of people and objects near him. Even though he thought it was a bit dorky to wear wrist guards and a helmet, his friends insisted that he take standard and reasonable safety measures.
Rajiv was enjoying the day when, from out of nowhere actually the woods came an out of control skier who ran into Rajiv. Rajiv was injured and taken to the nearest hospital by ambulance.
Rajivs injuries included a broken wrist and elbow as well as cuts and bruises. Of biggest concern was the uncertainty of his head injury. Rajiv spent a couple of days in intensive care. Fortunately, he didnt have a broken skull, but did have a concussion. Surgery was performed to repair the broken wrist and elbow. Since Rajiv was in good health, his recovery was complete. Rajiv returned to full function in about six months.
Soon after Rajiv returned home, however, the medical bills for the ambulance, emergency room, intensive care, medications, doctors, tests, and other services arrived. Rajiv also had to have physical therapy for his wrist and elbow. His total medical expenses were $ It was time to find out if all those premiums paid since would pay off for just one, albeit dramatic, incident.
Overall, Rajivs insurance paid of the total medical expenses, thus making him responsible for
of the expenses, or
$
Rajivs insurance paid
$
His outofpocket expenses for the accident of
$
plus the insurance premiums of
$
totaled
$
If Rajiv had canceled his health insurance at the end of his outofpocket expenses for the accident would have been
$
In this case, did Rajiv benefit from having health insurance?
What are reasonable morals of the story? Check all that apply.
Dont get sick.
Never leave the house.
Think long and hard about the best tradeoff of coverage and cost in a health care plan.
Your health can change in an instant.
It can be financially risky to go without health insurance.
Some employers pay part or all of the health insurance premiums for employees who are enrolled in one of the companys sponsored plans. Assume that during the same time period that Rajiv paid for his premiums in full that he had, instead, worked for a firm that paid of his premiums for the same coverage. Instead of paying premiums of
$
over the years, Rajiv would have paid
$
and saved
$
In this case, Rajivs outofpocket expenses specific to his snowboarding accident would have been they actually were because
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