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Jamie lee and Ross learned that the hospital that they plan to use for the delivery is not a participating hospital. What will their financial
Jamie lee and Ross learned that the hospital that they plan to use for the delivery is not a participating hospital. What will their financial responsibility be for the nonparticipating hospital expense?
afford to buy more insurance. HEALTH AND DISABILITY INCOME INSURANCE Jamie Lee and Ross, happy newlyweds with a new home and twins on the wa iously awaiting their new bundles of joy. Ross was understandably nervous as he if everything would go smoothly with Jamie's pregnancy. Fortunately, they coo benefits from the medical insurance group plan offered by Ross's an. employment at graphics agency and Jamie Lee's own plan, although Ross's plan would be their pn His employer offers a health care savings plan, but Ross had not previous benefit of participating. Jamie Lee has had maternity care that she has been comfortable with so far, needed to review their health insurance policies with the potential of extensive expenses just on the horizon. He wondered if his salary would be enough to pay for the expenses that were not covered for out-of-network doctors. but Current Medical Insurance Plan Provisions Jamie Lee and Ross have a PPO, or preferred provider organization, plan. In-Network Medical Care: Jamie Lee and Ross currently have a S15 copayment on regular preventive care doctor its and a $30 copayment on specialists that are preferred providers or participating mem bers from the PPO plan's list. Out-of-Network Medical Care: of the Jamie Lee and Ross have the choice of seeking medical care from the professional choice outside the PPO member list, but will incur a deductible of $500 per per family, per year After the deductible is met, there is a coinsurance of 80 percent/20 percent. The company will cover 80 percent of the allowable medical fees and the policyholden responsible for the other 20 percent of the allowable medical fees. Medical fees that are not allowed under the medical plan provisions would be of the policyholders' responsibility Out-of-Pocket Limits: Their health insurance plan provides an out-of-pocket limit of $7,500 per ye Step by Step Solution
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