please help!!!

Attempts Average / 8 7. Terms of payment for medical expense plans But I Paid My Premiums! Besides possibly paying the premiums for a medical Insurance plan, the insured is almost always responsible for making other out of pocket payments. This practice helps keep overall costs down for both Insureds and the insurance companies and ensures that insureds are informed about the costs of health care. For each of the following scenarios, select which type of other cost or provision is strated. Nehe has been hospitalized for an itiness. Her insurance company has started paying 80% of covered medical expenses Coordination of benefits Participation (Co-insurance) Internal limit Neha has been hospitalized for an illness. Her insurance company has started paying 80% of covered medical expenses. Coordination of benefits O Participation (co-Insurance) Internal limits Deductible Sam is covered under his medical insurance policy at work and also covered under his spouse's work plan. Sain has some targe medical bills and since both Sam and his spouse contribute to their plans at work, Sam is trying to figure out a way to collect benefits for some of the same charges under both plans Internal limits Coordination of benefits Participation (co-insurance) Daductible Terasa had routine surgery performed at her local hospital. All charges were within the reasonable and customary costs in the area Teresa had routine surgery performed at her local hospital. All charges were within the reasonable and customary costs in she area. Participation (co-insurance) Coordination of benefits Deductible Internal limits Andrew had a run of bad luck. He sprained his arm, had a staph infection, and needed surgery to remove his appendix Out-of-pocket Andrew has paid $500 for the uprain, $500 for the infection, and $1,200 for the operation. He still has medical expenses for all three incidents his Insurance company is now paying part of the expenses related to the surgery but not the other two incidents. What does Andrew's responsibility for all paying all expenses for the sprain and infection represent Coordination of benefits Internal limits Deductible Participation insurance) 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 6 $2,000,000 lifetime limit a $500 deductible and 30 coinsurance cause Internal limits of $500 per day for a semi-private room and board, $5,000 per occurrence for x-rays, prescription drugs, and other medical expenses, and a $25,000 maximum limit per occurrence on surgical procedures * $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 ratu to the policy's internal limit Last month, Guth was injured during a severe grense file in her restaurant. She spent days in the hospital in a room that cost 750 per day, incurred 54,000 for other medical expenses, and $22,000 in surgical expenses. Ule Wiese din costs, complete the following table and answer the related questions Policy Limit Total Claim $ $500 per day S S Hospital charges Surgery costs Other medical costs Rehabilitation and therapy costs Deductible Co Insurance percentage Total cost of claim Based on this data, the total cost to the insurance company is 5 while the out-of-pocket cost to Beth is s How much did Bath save by having her medical insurance policy? 5 Assume that the hospital changed its payment policy to make the patient responsible for the difference between the hospital's room rate and the Insurance company's responsibility (5750 per day versus $500 per day)aby how much would Beth's out-of-pockest cost for her hospital room change due in hospital billing Beth's costs would increase by $750 Rathcosterune 5720 Q Search the Assignment Chapter 09 Insuring Your Health Deductible Co Insurance percentage 96 Total cost of claim Based on this data, the total cost to the insurance company is S while the out-of-pocket cost to Bethis How much did Beth save by having her medical insurance policy? 5 Assume that the hospital changed its payment policy to make the patient responsible for the difference between the hospital's room rate and the Insurance company's responsibility (5750 per day versus $500 per day). By how much would Beth's out-of-pocket cost for har hospital room changu due in hospital billing? Beth's costs would increase by $750. Beth's costs would decrease by $750. Bath's costs would increase by $450 Grad Man Attempts Average / 8 7. Terms of payment for medical expense plans But I Paid My Premiums! Besides possibly paying the premiums for a medical Insurance plan, the insured is almost always responsible for making other out of pocket payments. This practice helps keep overall costs down for both Insureds and the insurance companies and ensures that insureds are informed about the costs of health care. For each of the following scenarios, select which type of other cost or provision is strated. Nehe has been hospitalized for an itiness. Her insurance company has started paying 80% of covered medical expenses Coordination of benefits Participation (Co-insurance) Internal limit Neha has been hospitalized for an illness. Her insurance company has started paying 80% of covered medical expenses. Coordination of benefits O Participation (co-Insurance) Internal limits Deductible Sam is covered under his medical insurance policy at work and also covered under his spouse's work plan. Sain has some targe medical bills and since both Sam and his spouse contribute to their plans at work, Sam is trying to figure out a way to collect benefits for some of the same charges under both plans Internal limits Coordination of benefits Participation (co-insurance) Daductible Terasa had routine surgery performed at her local hospital. All charges were within the reasonable and customary costs in the area Teresa had routine surgery performed at her local hospital. All charges were within the reasonable and customary costs in she area. Participation (co-insurance) Coordination of benefits Deductible Internal limits Andrew had a run of bad luck. He sprained his arm, had a staph infection, and needed surgery to remove his appendix Out-of-pocket Andrew has paid $500 for the uprain, $500 for the infection, and $1,200 for the operation. He still has medical expenses for all three incidents his Insurance company is now paying part of the expenses related to the surgery but not the other two incidents. What does Andrew's responsibility for all paying all expenses for the sprain and infection represent Coordination of benefits Internal limits Deductible Participation insurance) 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 6 $2,000,000 lifetime limit a $500 deductible and 30 coinsurance cause Internal limits of $500 per day for a semi-private room and board, $5,000 per occurrence for x-rays, prescription drugs, and other medical expenses, and a $25,000 maximum limit per occurrence on surgical procedures * $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 ratu to the policy's internal limit Last month, Guth was injured during a severe grense file in her restaurant. She spent days in the hospital in a room that cost 750 per day, incurred 54,000 for other medical expenses, and $22,000 in surgical expenses. Ule Wiese din costs, complete the following table and answer the related questions Policy Limit Total Claim $ $500 per day S S Hospital charges Surgery costs Other medical costs Rehabilitation and therapy costs Deductible Co Insurance percentage Total cost of claim Based on this data, the total cost to the insurance company is 5 while the out-of-pocket cost to Beth is s How much did Bath save by having her medical insurance policy? 5 Assume that the hospital changed its payment policy to make the patient responsible for the difference between the hospital's room rate and the Insurance company's responsibility (5750 per day versus $500 per day)aby how much would Beth's out-of-pockest cost for her hospital room change due in hospital billing Beth's costs would increase by $750 Rathcosterune 5720 Q Search the Assignment Chapter 09 Insuring Your Health Deductible Co Insurance percentage 96 Total cost of claim Based on this data, the total cost to the insurance company is S while the out-of-pocket cost to Bethis How much did Beth save by having her medical insurance policy? 5 Assume that the hospital changed its payment policy to make the patient responsible for the difference between the hospital's room rate and the Insurance company's responsibility (5750 per day versus $500 per day). By how much would Beth's out-of-pocket cost for har hospital room changu due in hospital billing? Beth's costs would increase by $750. Beth's costs would decrease by $750. Bath's costs would increase by $450 Grad Man