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?

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