Michael has the OmniaBronze medical insurance offered byHorizonBlue Cross Blue Shield of New Jersey. Click here for
Question:
Michael has the OmniaBronze medical insurance offered byHorizonBlue Cross Blue Shield of New Jersey. Click here for explanation of benefits.(This document is also available in FILES on Canvas)Based on the explanation of benefits help Michael and Mary understand the following situations. Answer each question independent of the others:
1)What would be the cost of an annual routine physical?
2) Max fractured his wrist and had to be taken to the Emergency room. If the total bill for treatment was $1500, how much would Michael have to pay from his pocket.Assume there were no other medical billsfor the year.
3)If Max had fractured his wrist in a year when they had already incurred $7000 in medical expenseNot including premiums and penalties). How much of the $1500 for emergency treatment would the insurance cover?(Assume the individual out of pocket limithas not been reached)
4) For this question, assume this year the family has already incurred medical expense of $7000 (Not including premiums and penalties). They incur $1000 for a visit to a doctor's office visit. The doctor was listed as a Tier 2provider. How much will the insurance cover?(Assume the individual out of pocket limithas not been reached)
5)For this question, assume this year the family has already incurred medical expense of $14,300 (Not including premiums and penalties). They incur $1500 for a visit to a doctor's office visit.The doctor was listed as a Tier 2 provider. How much will the insurance cover?