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Sharon, a graphic artist, is 24 years old and has owned a major medical insurance policy for three years. The policy, which she purchased through
Sharon, a graphic artist, is 24 years old and has owned a major medical insurance policy for three years. The policy, which she purchased through her alumni association, provides the following coverage: - a $3,000,000 lifetime limit - a $1,500 deductible and 80% coinsurance clause - internal limits of $400 per day for a semi-private room and board, $7,500 per occurrence for x-rays, prescription drugs, and other medical expenses, and a $40,000 maximum limit per occurrence on surgical procedures - a $25,000 limit per occurrence on rehabilitation and physical therapy - if a hospital charges a room rate that is greater than the policy's stated internal limit, the hospital agrees to reduce the room rate to the policy's internal limit. Last month, Sharon was injured in an automobile accident. She spent 4 days in the hospital in a room that cost $600 per day, incurred $5,500 for other medical expenses, and $20,000 in surgical expenses. Given these claim costs, complete the following table and answer the related questions Based on this data, the total cost to the insurance company is , while the out-of-pocket cost to Sharon is How much did Sharon save by having her medical insurance policy? Assume that the hospital changed its payment policy to make the patient responsible for the difference between the hospital's room rate and the insurance company's responsibility ( $600 per day versus $400 per day). By how much would Sharon's out-of-pocket cost for her hospital room change due in hospital billing ? Sharon's costs would increase by $800. Sharon's costs would increase by $320. Sharon's costs would decrease by $800
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