Brett is trying to decide between two insurance plans. The first plan has a $0 deductible, a 50% copay, and an annual out-of-pocket maximum of $1,500. The second plan has a $600 deductible, a 10% copay, and an annual out-of- pocket maximum of $1,500. Brett's only medical expenses are his monthly visits to his primary care physician for which the physician charges $300 per visit. a. If Brett chooses the first plan, how much will he pay out-of-pocket in 1 year? b. If Brett chooses the second plan, how much will he pay out-of-pocket in 1 year?
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- Sarah purchased an individual medical expense insurance policy that included a $250 deductible and an 80-20 coinsurance provision. She required medical care and the cost of the care provided was $40,750. How much of this amount must Sarah pay and how much will her insurer pay? How would your answer change if Sarah's policy included a $3,000 out-of- pocket limit that applied to coinsurance payments? . HINT (Coinsurance is calculated after you pay your deductible)With a certain medical insurance policy, the customer must first pay an annual $350 deductible, and then the policy covers 70% of the cost of x-rays. The first insurance claims for a specific year submitted by a person are for two x-rays. The first x-ray cost $600, and the second x-ray cost $900. How much, in total, will he need to pay for these x-rays? He will be responsible for $26) If an employee receives health insurance through his or her employer, the employer A) still withholds contributions for Medicare and Medicaid from the employee's paycheck. B) still withholds contributions for Medicare, but not Medicaid, from the employee's paycheck. C) still withholds contributions for Medicaid, but not Medicare, from the employee's paycheck. D) is no longer required to withhold contributions for Medicare or Medicaid from the employee's paycheck. 27) Which of the following is not part of the "individual mandate" provision of the Patient Protection and Affordable Care Act (ACA)? A) Individuals are allowed to opt out of the insurance program if they can prove they have no serious health issues and do so before the act fully takes effect in the year 2014. B) By 2016, fines for not having health insurance will be the greater of $695 per person or 2.5 percent of income. C) Beginning in 2014, individuals who do not…
- Tyler just wrecked his new Nissan, and the accident was his fault. The owner of the other vehicle got two estimates for the repairs: one was for $803 and the other was for $852. Tyler is thinking of keeping the insurance companies out of the incident to keep his driving record “clean.” Tyler’s deductible on his comprehensive coverage insurance is $500, and he doesnot want his premium to increase because of the accident. In this regard, Tyler estimates that his semi-annual premium will rise by $60 if he files a claim against his insurance company. In view of the above information, Tyler’s initial decision is to write a personal check for $803 payable to the owner of the other vehicle. Did Tyler make the most economical decision?What other options should Tyler have explored? In your answer, be sure to state your assumptions and quantify your thinking.Consider a consumer with a medical bill of $5,000. He has a $4000 deductible and a 20 percent coinsurance rate on all expenses over $4000. His "out-of-pocket" liability for this bill is (assume he still has $4000 deductible to meet): $5000 $5200 $4000 $4200There are many ways to define and measure the benefits and costs that go into the GPI. How do you think a person with a biocentric worldview would measure these differently from a person with an anthropocentric worldview? Whose GPI for the year 2005 would likely be higher?
- Suppose that there are 2 types of plans available to you. Plan A has a deductible of $500, with 10 percent co-insurance rate for many health care services. Plan B has a deductible fo $1000, with 35 percent co-insurance rate. Plan A costs $200 per month in premiums while Plan B costs $80. Discuss characteristics of people who would choose Plan A versus Plan B. Assuming that both plan types exist in the market, who would likely choose Plan B over Plan A? What plan would you choose?Economics Use the following information to determine the costs to you and/or to the insurance company for the following occurrences:1) You have $500 per person Wellness Benefit.2) You have a $500 İndividual Deductible and your family (spouse and children) has a $500 Family Deductible.3) You have a $10,000 annual Maximum Family Out-of- Pocket expense provision.4) Once you have met your Individual or Family Deductible, your insurance will pay 80% of the expenses and you will pay 20% as your co-pay.Unless the occurrence is a Wellness expense, you and/or your family have to meet their deductibles first before insurance will pay anything. Example:Assume that you have met your deductible, and you go to the Emergency Room for a large cut on your shin which required cleaning, 20 stitches, a tetanus shot, and antibiotics. (80/20 plan)Total Charges = $2,500 totalYour Responsibility = $2,500*.20 = $500 (goes toward your Max Out of Pocket)Insurance Responsibility = $2,500*.80 = $2,000 Question:…Consider a consumer with a medical bill of $1,000. He has a $250 deductible and a 10 percent coinsurance rate on all expenses over $250. His "out-of-pocket" liability for this bill is $ Please type in a number (without any extra space, symbol, word, etc.)
- Utility Theory You live in an area that has a possibility of incurring a massive earthquake, so you are considering buyingearthquake insurance on your home at an annual cost of $180. The probability of an earthquake damagingyour home during one year is 0.001. If this happens, you estimate that the cost of the damage (fully coveredby earthquake insurance) will be $160,000. Your total assets (including your home) are worth $250,000. A. Apply Bayes’ decision rule to determine which alternative (take the insurance or not) maximizes yourexpected assets after one year.9. Comparing policies Shopping for Life Insurance Suppose Kim has determined that a $100,000 universal life insurance policy would best suit her needs. Tina Trustworthy, a local life insurance agent, quoted her a monthly rate of $300. She remembers learning from her personal finance course that premiums for similar policies, so she plans to Before doing anything else, she decides to consult her Uncle Jim, an attorney, about the features of his life insurance policy. He tells Kim that he has a 10-year $200,000 term life policy. Tina Trustworthy is the second life insurance agent Kim consulted. The first agent she saw was David Dishonestman. Kim began to suspect that rather than trying to serve her best interests, David Dishonestman was primarily interested in earning as high a commission as possible. Which of the following behaviors would have raised Kim's suspicions? Check all that apply. O David Dishonestman described a policy with a high rate of interest, but it had to be purchased…David Herbert earns $2,475 a month as a security guard for Baldwin Enterprises. His group medical insurance costs $3,300 a year. The company pays 80% of the cost of group insurance. How much is deducted each month from his paycheck for medical insurance?