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Ronald started his new job as controller with Aerosystems today. Carole, the employee benefits clerk, gave Ronald a packet that contains information on the company's
Ronald started his new job as controller with Aerosystems today. Carole, the employee benefits clerk, gave Ronald a packet that
contains information on the company's health insurance options. Aerosystems offers its employees the choice between a private
insurance company plan Blue CrossBlue 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.
a The monthly premium cost to Ronald for the Blue CrossBlue Shield plan will be $ For all doctor office visits, prescriptions, and
major medical charges, Ronald will be responsible for percent and the insurance company will cover percent of covered
charges. The annual deductible is $
b The HMO is provided to employees free of charge. The copayment for doctors' office visits and major medical charges is $
Prescription copayments are $ The HMO pays percent after Ronald's copayment. There is no annual deductible.
c The POS requires that the employee pay $ 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 percent of all charges after he pays a $ deductible. The POS will pay
for percent of those covered visits. There is no annual deductible for innetwork expenses.
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 $ for each visit. He also spent $ and $ 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 networkapproved pharmacy.
What total costs will Ronald pay if he enrolls in the HMO plan?
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