James has two young children (Finn and lain) who are visiting the doctor for their annual well-child check-ups. The doctor's office charges $105 for well-child appointments. Health insurance pays 100% of the costs associated with well-child visits and does not require a copayment. James' health plan monthly premium is $1,400 and has a $1,000 deductible. How much will James be charged when the appointment is done?
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- Health insurance is aH applied for a individual major medical policy. When H filed a claim within the first year of coverage and the underwriter noticed that the H's age on the claim form was different than what was listed on the application. The insurer will take which of the following actions regarding H's claim? A: Deny the claim and refund premiums B: Deny the claim, cancel the policy and keep all premiums C: Pay the claim in full and keep the policy as is D: Adjust the claim benefit amount to the insured's correct ageRuth Lockwood earns $2,917 a month as a supervisor for Acme Steel. Her group medical coverage costs $3,120 per year. The company pays 75% of the cost of group insurance. How much is deducted each month from her paycheck for medical insurance?
- David Herbert earns $2,475 a month as a security guard for Baldwin Enterprises. His group medical insurance costs $3,300 a year. The company pays 80% of the cost of group insurance. How much is deducted each month from his paycheck for medical insurance?Please write me a detailed answer in the following exercise. It is URGENT. Thank you in advance.How can insurance companies offer a guarantee to pay for certain medical expenses? How do they determine the appropriate premium to charge?
- Alex contributes 23% of the total cost of her individual health care coverage. She pays $52 bi-weekly towards this contribution. What is the amount Alex's employer contributes for health care coverage for the year?Suppose you have $5,000 as a gift from your parents just after you graduate. You have a car, your great grandfather’s rare World War I commemorative badge collection and you quickly found a place to rent for a while. You work in a factory that has a history of workplace injury and you work near the conveyor belts and other giant machines. You are single and live by yourself. Based on this information, what types of insurance would you need to purchase? List each type you would need and explain in 1-2 sentences why.Is Effective payment model a challenge in the healthcare system today