Question: Answer every question in full sentences. For part 2, a ssume a doctor's appointment and a lab test each cost $100 when determining which plan
Answer every question in full sentences. For part 2, assume a doctor's appointment and a lab test each cost $100 when determining which plan the consumer should choose.
Review the following insurance plans and then answer the questions below.
| Services | Bronze | Silver | Gold |
| Monthly cost | $163 | $194 | $245 |
| Deductible | $6,000 | $4,000 | $1,000 |
| Primary care | $35 co-pay for three visits, then 20% of co-insurance | $30 co-pay/provider/day | $20 co-pay/provider/day |
| Specialist visit | $70 co-pay for three visits, then 20% of co-insurance | $60 co-pay/provider/day | $40 co-pay/provider/day |
| Preventive care/screening/immunization | No charge | No charge | No charge |
| Diagnostic test (x-ray, blood work) | $35 co-pay or 20% of co-insurance if co-pay limit is reached | Office visit co-pay or 20% of co-insurance | Office visit co-pay or 20% of co-insurance |
| Level 1 prescription drugs | $25 co-pay/30-day supply | $15 co-pay/30-day supply | $15 co-pay/30-day supply |
| Emergency dept. services | 20% of co-insurance | $350 co-pay/facility/day | $250 co-pay/facility/day |
| Emergency medical transportation | 20% of co-insurance | 20% of co-insurance | 20% of co-insurance |
| Urgent care | $75 co-pay | $60 co-pay/provider/day | $60 co-pay/provider/day |
| Hospital stay (facility fee, physician/surgeon fee) | 20% of co-insurance | 20% of co-insurance | 20% of co-insurance |
Consumer B
Zach is a healthy 30-year-old who rarely goes to the doctor and does not take any medication. He has been offered the insurance plans above. He is considering the plans for use of common ailments (e.g., colds) and for preventive tests.
- Compare the plans and determine which would be the best plan for Zach.
Zach has recently been hired as a construction worker and is considering changing his health plan. He realizes that this new job may have more hazards than his last job.
- Which plan should Zach consider? Why?
- How does the plan he should consider in this scenario compare to the plan choice from question 1? Remember to consider deductibles and general costs for the services he would be using.
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