Personal Finance:

Jamie Lee and Ross have a PPO, orpreferred provider organization,plan.

In-Network Medical Care:

Jamie Lee and Ross currently have a $15 copayment on regular preventive care doctor visits and a $30 copayment on specialists that are preferred providers or participating members from the PPO plans list.

Out-of-Network Medical Care:

Jamie Lee and Ross have the choice of seeking medical care from the professional of their choice outside the PPO member list, but will incur a deductible of $500 per person/$1,000 per family, per year.

After the deductible is met, there is a coinsurance of 80 percent/20 percent. The insurance company will cover 80 percent of the allowable medical fees and the policyholders will be responsible for the other 20 percent of the allowable medical fees.

Medical fees that are not allowed under the medical plan provisions would be 100 percent of the policyholders responsibility.

Out-of-Pocket Limits:

Their health insurance plan provides an out-of-pocket limit of $7,500 per year.

2. How could Jamie Lee and Ross prepare for the birth of the twins with their existing PPO plan?

3.The doctors office has estimated the hospital expense for Jamie Lee and the babies delivery, without complications, to be approximately $18,000. Based on their health insurance policy, how much would Jamie Lee and Ross owe for this out-of-network hospital stay?