Based on the 2018 plan year for Independence Blue Cross Personal Choice PPO Bronze, Silver, Gold,
Question:
Based on the 2018 plan year for Independence Blue Cross – Personal Choice PPO Bronze, Silver, Gold, and Platinum plans
Worksheet (you only need to turn in this page, you can delete pages 1-15 if you wish)
Student Name:
Choice 1:
Choice 2:
Did you enter your income as “2020 dollars” or “% of poverty”?
Jack’s annual income is about $18,000, which is equal to 148% of poverty.
Complete the worksheet based on your adventure:
For any calculations you do, please show your work.
Expense | Amount you were responsible for paying |
Monthly Premium: | |
Annual Premiums: | |
Physician Visit: | |
Inpatient Hospitalization (if relevant): | |
Preventive Visit (if relevant): | |
Payment to IRS (if relevant): | |
Total Expenses for the year: |
- Do you think Jack made a good choice regarding his initial enrollment in health insurance for the year? Why?
- Based on this adventure, what do you consider to be some of the biggest strengths of the Affordable Care Act?
- Based on this adventure, what do you consider to be some of the biggest shortcomings of the Affordable Care Act?
- What do you think should be the goal of healthcare reform going forward? Example Plan Benefits for In-Network Care
Bronze | Silver (No CSR) | Gold | Platinum | |
Deductible | $5,500 | $2,500 Med/$250 Rx | $0 | $0 |
Preventive | $0 | $0 | $0 | $0 |
Doctor’s Office Visits | $50 | $30 | $30 | $15 |
Specialist | 30% co-insurance after deductible | $70 | $65 | $50 |
Generic Rx | $15 after deductible | $15 | $15 | $10 |
Preferred Brand RX | 50% co-insurance after deductible | 50% co-insurance after deductible | 40% | $50 |
Lab Testing | $0 | $0 | $0 | $0 |
X-ray | 50% co-insurance after deductible | 30% co-insurance after deductible | $60 | $40 |
Maternity | $7,410 | $5,350 | $2,110 | $710 |
Out-patient Surgery | 50% co-insurance after deductible | 30% co-insurance after deductible | 20% co-insurance | $50 |
Hospital Stay | 25% co-insurance, after deductible | 25% co-insurance, after deductible | $750 copay per day | $300 copay per day |
ER Visit | 50% co-insurance after deductible | 30% co-insurance after deductible | $350 | $250 |
Urgent Care | 50% co-insurance after deductible | 30% co-insurance after deductible | $100 | $100 |
Business Statistics
ISBN: 978-0321925831
3rd edition
Authors: Norean Sharpe, Richard Veaux, Paul Velleman