Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

Ronald started his new job as a controller with Aerosystems today. Carole, the employee benefits clerk, gave Ronald a packet that contained information on the

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

a. The monthly premium cost for Ronald for the Blue Cross or Blue Shield plan will be $45.57. For all doctor office visits, prescriptions, and major medical charges, Ronald will be responsible for 25 percent and the insurance company will cover 75 percent of the covered charges. The annual deductible is $300.

b. The HMO is provided to employees free of charge. The copayment for doctors' office visits and major medical charges is $20. Prescription copayments are $10. The HMO pays 100 percent after Ronald's copayment. There is no annual deductible.

c. The POS requires that the employees pay $26.39 per month to supplement the cost of the program with the company's payment. If Ronald 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 outside of the service and pay 15 percent of the covered charges after he pays a $450 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 three times during the year at a cost of $125 for each visit. He also spent $60 and $84 on prescriptions during the year. (For the purposes of the POS computation, assume that Ronald 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?

Note: Round your intermediate calculations and final answer to 2 decimal places.

Annual Medical Cost:

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_2

Step: 3

blur-text-image_3

Ace Your Homework with AI

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

Get Started

Recommended Textbook for

International Finance Theory And Policy

Authors: Steven Michael Suranovic

1st Edition

193612646X, 9781936126460

More Books

Students also viewed these Finance questions

Question

What is group replacement? Explain with an example. (2-3 lines)

Answered: 1 week ago