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Samuel Nguyen was seriously injured in a skiing accident that broke both his legs and an arm. His medical expenses included 5 days of hospitalization
Samuel Nguyen was seriously injured in a skiing accident that broke both his legs and an arm. His medical expenses included 5 days of hospitalization at $900 a day, $7,900 in surgical fees, $3,000 in physician's fees (including time in the hospital and seven follow-up office visits), $510 in prescription medications, and $1,500 for physical therapy treatments. All of these charges fall within customary and reasonable payment amounts.
- If Samuel had a health insurance plan that pays 90 percent of his charges with a $1,000 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 Samuels out-of-pocket expenses be if he belonged to an HMO with a $30 co-pay for office visits? Round to the nearest dollar. $
- Monthly premiums are $280 for the standard plan and $365 for the HMO. If he had no other medical expenses this year, which plan would have provided more cost-effective coverage for Samuel? HMO or Indemnity Plan
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