Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

Please answer me correctly. I have tried all the solution of Chegg. Picture is very clear I posted earlier why u people make issue on

Please answer me correctly. I have tried all the solution of Chegg. Picture is very clear I posted earlier why u people make issue on small things if u dont know answer.

Qs 1

Sarahs comprehensive major medical health insurance plan at work has a deductible of $650. The policy pays 90 percent of any amount above the deductible. While on a hiking trip, she contracted a rare bacterial disease. Her medical costs for treatment, including medicines, tests, and a six-day hospital stay, totaled $9,860. A friend told her that she would have paid less if she had a policy with a stop-loss feature that capped her out-of-pocket expenses at $3,400. The policy with the stop-loss feature has the same deductible and coinsurance requirement as Sarah's current policy.

Determine which policy would have cost Sarah less and by how much. (Round your intermediate calculations and final answer to 2 decimal places.)

  • Current policy

  • Stop-loss feature

  • No difference in Sarah's cost for this claim.

solve for Difference amount ?

Qs 1

Ronald Roth started his new job as controller with Aerosystems today. Carole, the employee benefits clerk, gave Ronald a packet that contains information on the companys health insurance options. Aerosystems offers its employees the choice between a private insurance company plan (Blue Cross/Blue Shield), an HMO, and a PPO. Ronald needs to review the packet and make a decision on which health care program fits his needs. The following is an overview of that information.

  1. The monthly premium cost to Ronald for the Blue Cross/Blue Shield plan will be $44.82. For all doctor office visits, prescriptions, and major medical charges, Ronald will be responsible for 30 percent and the insurance company will cover 70 percent of covered charges. The annual deductible is $450.
  2. The HMO is provided to employees free of charge. The copayment for doctors' office visits and major medical charges is $10. Prescription copayments are $7. The HMO pays 100 percent after Ronald's copayment. There is no annual deductible.

  3. The POS requires that the employee pay $25.94 per month to supplement the cost of the program with the company's payment. If Ron uses health care providers within the plan, he pays the copayments as described above for the HMO. He can also choose to use a health care provider out of the service and pay 15 percent of all charges after he pays a $400 deductible. The POS will pay for 85 percent of those covered visits. There is no annual deductible for in-network charges.

Ronald decided to review his medical bills from the previous year to see what costs he had incurred and to help him evaluate his choices. He visited his general physician four times during the year at a cost of $120 for each visit. He also spent $95 and $78 on prescriptions during the year. (For the purposes of the POS computation, assume that Ron visited a physician outside of the network plan. Assume he had his prescriptions filled at a network-approved pharmacy.)

If Ronald selects the POS plan, what would his annual medical costs be? (Round your intermediate calculations and final answer to 2 decimal places.)

Solve for Annual medical cost. Answer should be in decimal.

Step by Step Solution

There are 3 Steps involved in it

Step: 1

blur-text-image

Get Instant Access to Expert-Tailored Solutions

See step-by-step solutions with expert insights and AI powered tools for academic success

Step: 2

blur-text-image

Step: 3

blur-text-image

Ace Your Homework with AI

Get the answers you need in no time with our AI-driven, step-by-step assistance

Get Started

Students also viewed these Accounting questions