Sylvia recently had her appendix removed. Her total bill for the surgery, which was her only...
- Sylvia recently had her appendix removed. Her total bill for the surgery, which was her only healthcare expense for the year, came to $11,500. Her health insurance plan has a $500 annual deductible and an 80/20 coinsurance provision. The cap on Sylvia’s coinsurance share is $1,500.
How much of the bill will Sylvia pay?
How much of the bill will be paid by Sylvia’s insurance?
Homework Answers
Bill Sylvia will pay = Her share of coinsurance subject to a maximum of $ 1,500 + annual deductible = min (20% x 11500, 1500) + 500 = 1,500 + 500 = $ 2,000
Bill paid by Sylvia's insurance = Total bill - payment by Sylvia = 11,500 - 2,000 = $ 9,500
Add Answer to:
Sylvia recently had her appendix removed. Her total bill for
the surgery, which was her only...
Sylvia recently had her appendix removed. Her total bill for the surgery, which was her only healthcare...
Sylvia recently had her appendix removed. Her total bill for the surgery, which was her only healthcare expense for the year, came to $11,500. Her health insurance plan has a $500 annual deductible and an 80/20 coinsurance provision. The cap on Sylvia’s coinsurance share is $1,500. A. How much of the bill will Sylvia pay? B. How much of the bill will be paid by Sylvia’s insurance?
Do The Math 11-2 Health Care Event Protection Christina Haley of Elko, Nevada, age 57, recently...
Do The Math 11-2 Health Care Event Protection Christina Haley of Elko, Nevada, age 57, recently suffered a stroke. She was in intensive care for 3 days and was hospitalized for 10 more days. Her total bill for this care was $129,500. After being discharged from the hospital, she spent 25 days in a nursing home at a cost of $250 per day. Christina, who earns $4,500 per month, missed two months of work. Christina had a health insurance plan...
Jon Snow was recently stabbed with resulting medical bills of $4,000. His health insurance includ...
Jon Snow was recently stabbed with resulting medical bills of $4,000. His health insurance includes the following: $1,000 calendar-year deductible 80/20 coinsurance clause $5,000 out-of-pocket max 1. After insurance is applied, how much will Jon owe for the medical bill? 2. Jon needs surgery during the same calendar year that costs $30,000. After insurance is applied, how much will Jon owe for the surge
Which one of the following is TRUE about the concept of "coinsurance": For property insurance, the main purpose of...
Which one of the following is TRUE about the concept of "coinsurance": For property insurance, the main purpose of coinsurance is to get policyholders to share costs with insurers after the deductible is reached. For health insurance, the main purpose of coinsurance is punish policyholders for under insuring. For health insurance, coinsurance is used as an incentive for policyholders to use in-network providers. None of the above are TRUE. 26. а. b. с. d. 27. Which one of the following...
Karina has a health insurance policy that includes a deductible of $500 and a coinsurance of...
Karina has a health insurance policy that includes a deductible of $500 and a coinsurance of 20 percent. If her total bill is $3,200, how much will she be required to pay?
Gina's health insurance includes a $400 deductible and 80/20 coinsurance on all services that are not...
Gina's health insurance includes a $400 deductible and 80/20 coinsurance on all services that are not preventable. Gina visited the doctor for a sore throat on January 1st (so she has not yet met her deductible). The bill was $40. How much will Gina pay for the visit?
RISK MANAGEMENT AND INSURANCE MULTIPLE CHOICE Mohamed signed on for group dental insurance when he joined...
RISK MANAGEMENT AND INSURANCE MULTIPLE CHOICE Mohamed signed on for group dental insurance when he joined his employer last year. At his latest check-up, the dentist noted that he needed crowns on three teeth and an implant for a fourth tooth that had been removed due to decay. Under his plan, if the cost of dental work will exceed $600, the dentist submits the treatment plan to the insurer to calculate what the plan will cover and what the employee...
Problem 6: Mrs. Smith, a Medicare patient, had surgery, and the participating physician's fee is $1250....
Problem 6: Mrs. Smith, a Medicare patient, had surgery, and the participating physician's fee is $1250. This patient is working part-time, and her employer group health plan (primary insurance) allowed S1100, applied S500 to the deduct ible, and paid 80% of S600. a. Amount paid by this plan: S b. The spouse's employer group health plan (secondary insurance) is billed for the balance, which is This program also has a $500 deductible. This plan pays 100% of the fee billed,...
Outpatient Insurance Coding - Applying Concepts Ch 1
1. The patient's health insurance plan has a $750 deductible for hospital visits, and then it covers 100 percent of hospital visit charges. The patient's first hospital visit this year had charges of $612. The patient was subsequently admitted to the hospital a second time this year, and the charges totaled $358. How much will the patient be billed for each visit? How much will the health insurance plan reimburse for each visit?2 A patient insured under an indemnity plan...
Granny Clampett's health insurance policy has a $500 annual aggregate deductible, and 80/20 cost sharing deductible,...
Granny Clampett's health insurance policy has a $500 annual aggregate deductible, and 80/20 cost sharing deductible, and a $5,000 maximum annual out-of-pocket cap of $5,000. She wrecks her Harley and breaks her hip, and her total medical bills for the injury are $122,721. How much will her insurer pay for this claim?
Do The Math 11-2 Health Care Event Protection Christina Haley of Elko, Nevada, age 57, recently suffered a stroke. She was in intensive care for 3 days and was hospitalized for 10 more days. Her total bill for this care was $129,500. After being discharged from the hospital, she spent 25 days in a nursing home at a cost of $250 per day. Christina, who earns $4,500 per month, missed two months of work. Christina had a health insurance plan...
Which one of the following is TRUE about the concept of "coinsurance": For property insurance, the main purpose of coinsurance is to get policyholders to share costs with insurers after the deductible is reached. For health insurance, the main purpose of coinsurance is punish policyholders for under insuring. For health insurance, coinsurance is used as an incentive for policyholders to use in-network providers. None of the above are TRUE. 26. а. b. с. d. 27. Which one of the following...
Problem 6: Mrs. Smith, a Medicare patient, had surgery, and the participating physician's fee is $1250. This patient is working part-time, and her employer group health plan (primary insurance) allowed S1100, applied S500 to the deduct ible, and paid 80% of S600. a. Amount paid by this plan: S b. The spouse's employer group health plan (secondary insurance) is billed for the balance, which is This program also has a $500 deductible. This plan pays 100% of the fee billed,...
Most questions answered within 3 hours.
-
Where is the error in this code sequence?
String s1 = "Hello";
String s2 = "ello";...
asked 10 months ago -
Financial data for Joel de Paris, Inc., for last year
follow:
Joel de Paris, Inc.
Balance...
asked 10 months ago -
Consider this reaction:
Al2(SO4)3 (aq)+ BaCl3
(aq) Al2Cl6 (aq)- +
3BaSO4(s) . What is the...
asked 10 months ago -
Suppose that Savneet is considering increasing her
recent random sample from 20 car rentals to 40...
asked 10 months ago -
Trucks arrive at an unloading terminal at an average rate of 120
per hour.
Trucks arrive...
asked 10 months ago -
Why are methanol and ethanol completely soluble in water while
octanol is not very little soluble....
asked 10 months ago -
A facilities manager at a university reads in a research report
that the mean amount of...
asked 10 months ago -
When the CuSO4 is rehydrated by adding water to the anhydrous
compound, is this an endothermic...
asked 10 months ago -
A ray of sunlight is passing from diamond into crown glass; the
angle of incidence is...
asked 10 months ago -
A block of mass 0.249 kg is placed on top of a light, vertical
spring of...
asked 10 months ago -
how do the kidneys compensate in the presences of acidosis
a) trigger hyperventilate
b) reserve acid...
asked 10 months ago -
Question 501 pts
The rental rate of capital to the firm increases. Which of the
following...
asked 10 months ago