Beth, a restaurant owner, is 24 years old and has owned a major medical insurance policy...
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Beth, a restaurant owner, is 24 years old and has owned a major medical insurance policy for three years. The policy, which she purchased through her trade association, provides the following coverage: • a $1,000,000 lifetime limit • a $2,500 deductible and 80% coinsurance clause • internal limits of $250 per day for a semi-private room and board, $4,500 per occurrence for x-rays, prescription drugs, and other medical expenses, and a $45,000 maximum limit per occurrence on surgical procedures • a $25,000 limit per occurrence on rehabilitation and physical therapy • if a hospital charges a room rate that is greater than the policy's stated internal limit, the hospital agrees to reduce the room rate to the policy's internal limit. Last month, Beth was injured during a severe grease file in her restaurant. She spent 3 days in the hospital in a room that cost $350 per day, incurred $3,850 for other medical expenses, and $32,000 in surgical expenses. Given these claim costs, complete the following table and answer the related questions Hospital charges $250 per day $ Surgery costs 2$ 2$ Other medical costs Rehabilitation and therapy costs 2$ 2$ Deductible Co-insurance percentage % Total cost of claim Based on this data, the total cost to the insurance company is $ while the out-of-pocket cost to Beth is $ How much did Beth save by having her medical insurance policy?$ Assume that the hospital changed its payment policy to make the patient responsible for the difference between the hospital's room rate and the nsurance company's responsibility ($350 per day versus $250 per day). By how much would Beth's out-of-pocket cost for her hospital room change due in hospital billing ? Beth's costs would increase by $300. Beth's costs would increase by $210. Beth's costs would decrease by $300. Beth, a restaurant owner, is 24 years old and has owned a major medical insurance policy for three years. The policy, which she purchased through her trade association, provides the following coverage: • a $1,000,000 lifetime limit • a $2,500 deductible and 80% coinsurance clause • internal limits of $250 per day for a semi-private room and board, $4,500 per occurrence for x-rays, prescription drugs, and other medical expenses, and a $45,000 maximum limit per occurrence on surgical procedures • a $25,000 limit per occurrence on rehabilitation and physical therapy • if a hospital charges a room rate that is greater than the policy's stated internal limit, the hospital agrees to reduce the room rate to the policy's internal limit. Last month, Beth was injured during a severe grease file in her restaurant. She spent 3 days in the hospital in a room that cost $350 per day, incurred $3,850 for other medical expenses, and $32,000 in surgical expenses. Given these claim costs, complete the following table and answer the related questions Hospital charges $250 per day $ Surgery costs 2$ 2$ Other medical costs Rehabilitation and therapy costs 2$ 2$ Deductible Co-insurance percentage % Total cost of claim Based on this data, the total cost to the insurance company is $ while the out-of-pocket cost to Beth is $ How much did Beth save by having her medical insurance policy?$ Assume that the hospital changed its payment policy to make the patient responsible for the difference between the hospital's room rate and the nsurance company's responsibility ($350 per day versus $250 per day). By how much would Beth's out-of-pocket cost for her hospital room change due in hospital billing ? Beth's costs would increase by $300. Beth's costs would increase by $210. Beth's costs would decrease by $300.
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Nature of Expenditure Maximum Limit Allowed Actual Expenditure Incurred Ho... View the full answer
Related Book For
Personal Financial Planning
ISBN: 978-1111971632
13th edition
Authors: Lawrence J. Gitman, Michael D. Joehnk, Randy Billingsley
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