Question: 1 4 . An individual with a long - term illness, has AmeriHealth Silver Advantage plan, and a health care policy that includes a 2

14. An individual with a long-term illness, has AmeriHealth Silver Advantage plan, and a health care policy that includes a 20 pereent co-pay. The policy has a stop loss provision of \(\$ 19,000\) USD. A current long-term illness has resulted in total expenses of \(\$ 750,000\).14a) What is Stop-loss provision? 14b)How much would they have to pay out of pocket?

Step by Step Solution

There are 3 Steps involved in it

1 Expert Approved Answer
Step: 1 Unlock blur-text-image
Question Has Been Solved by an Expert!

Get step-by-step solutions from verified subject matter experts

Step: 2 Unlock
Step: 3 Unlock

Students Have Also Explored These Related Finance Questions!

Q:

14. An individual with a long-term illness, has AmeriHealth Silver Advantage plan, and a health care policy that includes a 20 pereent co-pay. The policy has a stop loss provision of $19,000 USD. A...

Q:

13. An individual with a long-term illness, has AmeriHealth Silver Advantage plan, and a health care policy that includes a 30 percent co-pay. The policy has a stop loss provision of $18,000 USD. A...

Q:

The product of your research and collaborative effort is a report that is to be submitted to the senior management group of ABC Equities Ltd (ABC), a very large client firm who is currently...

Q:

WorkfileContents.doc ASSIGNMENT # 2 Contract Review Analyze the sample physician contract provided below. Important negotiation language is missing from the contract. Using the Managed Care Checklist...

Q:

Prepare an Excel sheet summary comparison summary that addresses the following: What type of pension fund does the state provide to employees How is the pension fund actually funded - who pays for it...

Q:

CHAPTER 1 THE BUSINESS AND SOCIETY RELATIONSHIP BUSINESS & SOCIETY Title ISBN Business and Society Archie B. Carroll; Ann K. Buchholtz 978-1-285-73429-3 Publisher Cengage Learning Author FOCUS OF THE...

Q:

Study Guide Healthcare Statistics By Jacqueline K. Wilson, RHIA About the Author Jacqueline K. Wilson is a Registered Health Information Administrator (RHIA) who has more than ten years of experience...

Q:

1 What are the main components of personal financial planning? Solve What is the purpose of a financial plan? Solve Identify some common actions taken to achieve financial goals. How does a job...

Q:

Summarize the attached article Applied Economics, 2002, 34, 59762 Rm Estimating a health production function for the US: some new evidence JAMES THORNTON Dcpartmcnl of El'amlillil'x, Ear/cm Michigan...

Q:

# ( Health Care Information Systems: A Practical Approach for Health Care Management, 3rd Edition PREV NEXT Chapter 17: Asses... ' " Appendixes CHAPTER 18 Health IT Leadership A Compendium of Case...

Q:

Prepare the 2014 fiduciary income tax return (form 1041) forthe Green Trust. In addition, determine the amount and character of the income and expense items that each beneficiary must report forthe...

Q:

GreenApparel, a manufacturer and seller of sustainable clothing, increased its sales revenues in the year 2020 to Rs. 45 million. The increase in the revenue was supported by an accelerated...

Q:

12. As the manager of Smith Construction, you need to make a decision on the number of homes to build in a new residential area where you are the only builder. Unfortunately, you must build the homes...

Q:

Skills necessary for success in marketing include Multiple select question. analytical thinking advertising industry experience infallibility ability to work with others

Q:

If it is apparently so easy to do what BASF did to size up the potential benefits of health programs, why do you think more employers do not do so?

Q:

The allegations against Madison Square Garden in this case raise ethical questions with regard to the employers actions. Explain whether you agree or disagree with this statement, and why.

Q:

In teams of four or five students, choose a company for which you will develop an outline of a strategic HR plan. What seem to be this companys main strategic aims? What is the firms competitive...