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John Chang was seriously injured in a snowboarding accident that broke both his legs and an arm. His medical expenses included 8 days of hospitalization
John Chang was seriously injured in a snowboarding accident that broke both his legs and an arm. His medical expenses included 8 days of hospitalization at $700 a day, $7,000 in surgical fees, $8,000 in physician's fees (including time in the hospital and seven follow-up office visits), $650 in prescription medications, and $2,600 for physical therapy treatments. All of these charges fall within customary and reasonable payment amounts.
- If John had an indemnity plan that pays 90 percent of his charges with a $250 deductible and a $5,000 stop-loss provision, how much would he have to pay out-of-pocket? Round to the nearest dollar. $
- What would John's out-of-pocket expenses be if he belonged to an HMO with a $40 co-pay for office visits? Round to the nearest dollar. $
- Monthly premiums are $115 for the indemnity plan and $385 for the HMO. If he had no other medical expenses this year, which plan would have provided more cost-effective coverage for John?
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