3. Two different insurance agents present you two health insurance policies as follows. AIA: It covers at most 10 outpatient visits with maximum reimbursement of 80%. For specialty, the policy would not be effective until your expenses exceed $2000. Each claim receives $800 for a maximum of 10 claims. HSBC Life: For outpatient visits, a maximum 20 visits are covered with the first 5 visits are of co-insurance rate of 80% and the next 15 visits are subject to 60% co- 2 insurance rate. For specialty, you are allow to claim at most 5 with each claim capped at $1000. Your health care services consumed are as follows: Outpatient visits of 12 with each costs $300; Specialty of 3 with each costs $2500. Which agent’s policy would you prefer? Explain.
3. Two different insurance agents present you two health insurance policies as follows. AIA: It covers at most 10 outpatient visits with maximum reimbursement of 80%. For specialty, the policy would not be effective until your expenses exceed $2000. Each claim receives $800 for a maximum of 10 claims. HSBC Life: For outpatient visits, a maximum 20 visits are covered with the first 5 visits are of co-insurance rate of 80% and the next 15 visits are subject to 60% co- 2 insurance rate. For specialty, you are allow to claim at most 5 with each claim capped at $1000. Your health care services consumed are as follows: Outpatient visits of 12 with each costs $300; Specialty of 3 with each costs $2500. Which agent’s policy would you prefer? Explain.
Chapter5: Gross Income: Exclusions
Section: Chapter Questions
Problem 39P
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