Question
The information below outlines the Medicare prescription drug plans being considered by the Senate and the House of Representatives respectively back in the early 2000s.
The information below outlines the Medicare prescription drug plans being considered by the Senate and the House of Representatives respectively back in the early 2000s. The information provided is for an individual person and in each case you are being asked to calculate the out of pocket drug expenditure with no insurance plan as well as the out of pocket drug expenditures under the House and Senate plans respectively. Note that even though this information is a little dated, this exercise should help build your understanding of how insurance plan work in terms of coverage and out of pocket expenditures.
Premium (Monthly)
House = $35
Senate = $35-$41 (use $38)
Deductible (Annual)
House = $250
Senate = $275
Initial Coverage (Annual)
House = 80% of drug costs from $250 to $2,000
Senate = 50% of drug costs from $275 to $4,500
Gap (Annual)
House = no coverage of drug costs from $2,000 to $4,900
Senate = no coverage of drug costs from $4,500 to $5,800
Catastrophic Coverage (Annual)
House = 100% of drug costs above $4,900
Senate = 90% of drug costs above $5,800
Suppose instead that this individual has monthly prescription costs of $1,000
Calculate the total dollar amount that this individual would have to pay out-of-pocket annually without any insurance plan as well as how much they would pay under the Senate and House plans respectively and which plan would this individual prefer?.
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