Question: 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
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 |
1. Compare the plans above.
- What are the major differences between the plans?
- What are the major similarities between the plans?
- If you were presented with these plans, what would be the major selling points and pitfalls of each plan for you?
Step by Step Solution
There are 3 Steps involved in it
Get step-by-step solutions from verified subject matter experts
