Question: 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

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 current long-term illness has resulted in total expenses of $450,000.

13a) What is Stop-loss provision?

13b) 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!

1 4 . An individual with a long - term illness, has AmeriHealth Silver Advantage plan, and a health care policy that includes a 2 0 pereent co - pay. The policy has a stop loss provision of \ ( \ $ 1...

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...

What would be the out-of-pocket cost to an individual whose health care policy includes a 20 percent co-pay for all long-term illnesses ? The policy has a stop loss provision of $40,000. A current...

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 Attached are 10 questions that need to be answeredfrom the information form the Case Study.Please DO NOT use the sameanswers that have been answered on this site already, because they are wrong!I...

8. An individual with a long-term illness, has a health care policy that includes a 20 percent co- pay. The policy has a stop loss provision of $30,000 USD. A current long-term illness has resulted...

I need Chapter 2 & 3 finished. Chapter 4 & 5, Chapter 6 & 7, & Chapter 8. Some of this is completed, but it isn't 100% finished. Let me know if you can get to it. Personal Finance, Fifth Edition by...

Can anyone help me with this or already have the solution this whole Finance Workbook for Madura Personal Finance, Third Edition by Jeff Madura BUILDING YOUR OWN FINANCIAL PLAN WORKBOOK INDEX Chapter...

Hi. I need Chapter 11 part 1-4 Let me know. Thanks! (it wont letme add more than $8, but I will give $12+ tip) Personal Finance, Fifth Edition by Jeff Madura BUILDING YOUR OWN FINANCIAL PLAN WORKBOOK...

I need chapters 18, 19, 20, and 21 for the workbook for Personal Finance by Madura!! Please help!!! Personal Finance, Fifth Edition by Jeff Madura BUILDING YOUR OWN FINANCIAL PLAN WORKBOOK INDEX...

What is the modulus of the resultant force, which when acting on a 5 kg mass produces a modulus acceleration 1.8 m / s2 per plane with an angle of inclination of 35 ?

Explain the value chain concepts for Starbucks Coffee Malaysia, and how Starbucks Coffee Malaysia leverage value chain for competitive advantage with real and relevant examples. (An appropriate...

Grammar correction. I never received any bus lane ticket in the mail or email.According to your record, if I was receiving these tickets in the mail, how would I continue to drive on the bus lane? I...

Sociocultural forces include which of the following? Local regulations Currency exchange rates Customs and norms Weather patterns

2. What responsibilities do you have to Toya, to your supervisor, and to the company? How can you reflect thoughtfully about potential tensions between these responsibilities? Apply what youve...

2. Watch the fi lm An Unfi nished Life. Analyze the communication among the four main characters, with a focus on the system within which they operate. What are the elements of the system? Identify...

5. What careers are open to people with strong backgrounds in communication?