Health Plan Comparison Sheet SERVICE AND COST Emergency Room Urgent Care Surgery HEALTH CHOICE $25 co-pay In Network: $10 co-pay; 100% for initial exam for accident/medical emergency Out of Network: 80% of approved amount after deductible, 100% of approved amount for initial exam for accident/medical emergency In Network: 100% of approved amount Out of Network: 80% of approved amount after deductible In Network: 100% of approved amount Hospital Care Out of Network: 80% of approved Prescriptions Physician Office Visit Vision Deductible Maximum Out of Pocket amount after deductible In Network: Co-pay $5 generic/$10 brand Out of Network: 75% of approved amount In Network: $5 co-pay; 100% approved amount for initial exam for injury/ medical emergency Out of Network: 80% of approved amount after deductible; 100% approved amount for initial exam for injury/ medical emergency In Network: $10 co-pay for one exam per calendar year Out of Network: 80% of approved amount after deductible In Network: None Out of Network: $250 individual per calendar year In Network: None Out of Network: 100% after payments reach $2,500 SUPER HEALTH 90% of approved amount after deductible; 100% of approved amount for accidental injury 90% of approved amount after deductible 100% of approved amount 100% of approved amount plus $5 per day for private room Co-pay $5 generic/brand 90% of approved amount after deductible; 100% for accidental injury 90% of approved amount after deductible $250 per calendar year 100% after payments reach $1,000 DIRECTIONS Use the Health Plan Comparison Sheet to calculate the total out-of-pocket medical expense for each insurance plan, Health Choice and Super Health, and record your answers in the chart. When you begin, your deductible has not been met. The fee listed next to each item is the cost of that service without any health insurance. SERVICE AND COST COST WITH HEALTH CHOICE COST WITH SUPER HEALTH 1. Doctor's office visit for a sore throat and cough (in network) $95 2. Emergency room for stitches (in network) $115 DEDUCTIBLE NOW MET 3. Appendectomy (in network) » Surgery $14,000 » Two-night hospital stay $2,000 » Prescription (brand) $185 4. Eye exam (in network) $45 5. Urgent care (out of network) $85 6. Prescription (generic, in network) $85 7. Prescription (brand, out of network) $225 8. Annual physical (in network) $95 9. Emergency room for snowboard accident (concussion, broken leg, X-rays, etc.) $6,500 10. Urgent care (in network) $105

Essentials Of Investments
11th Edition
ISBN:9781260013924
Author:Bodie, Zvi, Kane, Alex, MARCUS, Alan J.
Publisher:Bodie, Zvi, Kane, Alex, MARCUS, Alan J.
Chapter1: Investments: Background And Issues
Section: Chapter Questions
Problem 1PS
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Related questions
Question
1. How much total money would you have spent out of pocket with each plan?
2. With each plan, how much total money would you have to spend before the insurance coverage pays 100% of your medical costs?
 
Health Plan Comparison Sheet
SERVICE
AND COST
Emergency
Room
Urgent Care
Surgery
HEALTH CHOICE
$25 co-pay
In Network: $10 co-pay; 100% for initial
exam for accident/medical emergency
Out of Network: 80% of approved
amount after deductible, 100% of
approved amount for initial exam for
accident/medical emergency
In Network: 100% of approved amount
Out of Network: 80% of approved
amount after deductible
In Network: 100% of approved amount
Hospital Care Out of Network: 80% of approved
Prescriptions
Physician
Office Visit
Vision
Deductible
Maximum
Out of Pocket
amount after deductible
In Network: Co-pay $5 generic/$10 brand
Out of Network: 75% of approved amount
In Network: $5 co-pay; 100% approved
amount for initial exam for injury/
medical emergency
Out of Network: 80% of approved
amount after deductible; 100% approved
amount for initial exam for injury/
medical emergency
In Network: $10 co-pay for one exam per
calendar year
Out of Network: 80% of approved
amount after deductible
In Network: None
Out of Network: $250 individual per
calendar year
In Network: None
Out of Network: 100% after payments
reach $2,500
SUPER HEALTH
90% of approved amount after
deductible; 100% of approved amount
for accidental injury
90% of approved amount after deductible
100% of approved amount
100% of approved amount plus $5 per
day for private room
Co-pay $5 generic/brand
90% of approved amount after
deductible; 100% for accidental injury
90% of approved amount after deductible
$250 per calendar year
100% after payments reach $1,000
Transcribed Image Text:Health Plan Comparison Sheet SERVICE AND COST Emergency Room Urgent Care Surgery HEALTH CHOICE $25 co-pay In Network: $10 co-pay; 100% for initial exam for accident/medical emergency Out of Network: 80% of approved amount after deductible, 100% of approved amount for initial exam for accident/medical emergency In Network: 100% of approved amount Out of Network: 80% of approved amount after deductible In Network: 100% of approved amount Hospital Care Out of Network: 80% of approved Prescriptions Physician Office Visit Vision Deductible Maximum Out of Pocket amount after deductible In Network: Co-pay $5 generic/$10 brand Out of Network: 75% of approved amount In Network: $5 co-pay; 100% approved amount for initial exam for injury/ medical emergency Out of Network: 80% of approved amount after deductible; 100% approved amount for initial exam for injury/ medical emergency In Network: $10 co-pay for one exam per calendar year Out of Network: 80% of approved amount after deductible In Network: None Out of Network: $250 individual per calendar year In Network: None Out of Network: 100% after payments reach $2,500 SUPER HEALTH 90% of approved amount after deductible; 100% of approved amount for accidental injury 90% of approved amount after deductible 100% of approved amount 100% of approved amount plus $5 per day for private room Co-pay $5 generic/brand 90% of approved amount after deductible; 100% for accidental injury 90% of approved amount after deductible $250 per calendar year 100% after payments reach $1,000
DIRECTIONS
Use the Health Plan Comparison Sheet to calculate the total out-of-pocket medical expense for each insurance
plan, Health Choice and Super Health, and record your answers in the chart. When you begin, your deductible
has not been met. The fee listed next to each item is the cost of that service without any health insurance.
SERVICE AND COST
COST WITH
HEALTH CHOICE
COST WITH
SUPER HEALTH
1. Doctor's office visit for a sore throat and cough
(in network) $95
2. Emergency room for stitches (in network) $115
DEDUCTIBLE NOW MET
3. Appendectomy (in network)
» Surgery $14,000
» Two-night hospital stay $2,000
» Prescription (brand) $185
4. Eye exam (in network) $45
5. Urgent care (out of network) $85
6. Prescription (generic, in network) $85
7. Prescription (brand, out of network) $225
8. Annual physical (in network) $95
9. Emergency room for snowboard accident
(concussion, broken leg, X-rays, etc.) $6,500
10. Urgent care (in network) $105
Transcribed Image Text:DIRECTIONS Use the Health Plan Comparison Sheet to calculate the total out-of-pocket medical expense for each insurance plan, Health Choice and Super Health, and record your answers in the chart. When you begin, your deductible has not been met. The fee listed next to each item is the cost of that service without any health insurance. SERVICE AND COST COST WITH HEALTH CHOICE COST WITH SUPER HEALTH 1. Doctor's office visit for a sore throat and cough (in network) $95 2. Emergency room for stitches (in network) $115 DEDUCTIBLE NOW MET 3. Appendectomy (in network) » Surgery $14,000 » Two-night hospital stay $2,000 » Prescription (brand) $185 4. Eye exam (in network) $45 5. Urgent care (out of network) $85 6. Prescription (generic, in network) $85 7. Prescription (brand, out of network) $225 8. Annual physical (in network) $95 9. Emergency room for snowboard accident (concussion, broken leg, X-rays, etc.) $6,500 10. Urgent care (in network) $105
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