Kemiah has the following insurance information from her employer: Premium: $200/month Deductible: $150 Tier 1: $10 Tier 2: $20 Tier 3: $40 She has never filled a prescription before, and brought her script for phentermine 37.5 mg to the pharmacy for processing. The pharmacy technician at the window informs Kemiah that this drug is not covered, and has a cash price of $37.22. Assuming she has paid the premium for her insurance to be active, what will she have ended up paying for the drug that month, all costs included? O a. $37.22 Ob. $200 O c. $150 O d. $237.22
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- Nancy Houser has a $1,500 overdue debt for medical books and supplies at Ken's Bookstore. She has only $500 in her checking account and doesn't want her parents to know about this debt. Ken's tells her that she may settle the account in one of two ways since she can't pay it all now: 1. Pay $500 now and $1,200 when she completes her residency, two years from today. 2. Pay $2,000 one year after completion of residency, three years from today. Assuming that the cost of money is the only factor in Nancy's decision and that the cost of money to her is 8%, which alternative should she choose?Shay Manning rents an apartment in Chicago and carries $40,000 insurance on her personal belongings. She selects the $1,000,000 liability with a deductible of $1,000 for each claim and carries an identity theft/fraud protection of $24. Shay's credit is rated as bad as she has a recent bankruptcy on her record. Find her annual premium using the given table. E Click the icon to see a hypothetical table of Estimated Annual Renters Insurance Premium Rates. The annual premium is $ (Simplify your answer. Type an integer or a decimal.)Check my work Ariana's health Insurance policy includes a deductible of $1,050 and a coinsurance provision requiring her to pay 20 percent of all bils. Her total bill is $8,700. What is Ariana's total cost? (Do not round intermediate calculations.) Imsured's cot
- Susan is in an indemnity health insurance plan that has a $500 deductible and a co- insurance percentage of 80/20. Susan falls down a flight of stairs and breaks her leg. She is hospitalized and the total cost of the hospital stay is $12,000. How much of the $12,000 is Susan responsible to pay and how much will the insurance company pay?Finn Stone has a PAP with coverage of $15,000/$30,000 for bodily injury liability, $15,000 for property damage liability, $5,000 for medical payments, and a $1,000 deductible for collision insurance. How much will his insurance cover in each of the following situations? Will he have any out-of-pocket costs? Round the answers to the whole dollar, if necessary. Leave no cells blank, be sure to enter "0" wherever required. Finn loses control and skids on ice, running into a parked car and causing $3,635 damage to the unoccupied vehicle and $4,165 damage to his own car. Total paid by the insurance company: $ Finn's out-of-pocket costs: $ Finn runs a stop sign and causes a serious auto accident, badly injuring two people. The injured parties win lawsuits against him for $44,000 each. Total paid by the insurance company: $ Finn's out-of-pocket costs (for both victims): $ Finn's 18-year-old son borrows his car. He backs into a telephone pole and causes $1,300…A patient's insurance policy states: Annual deductible: $300.00 Coinsurance: 70-30 This year the patient has made payments totaling $533 to all providers. Today the patient has an office visit (fee: $80). The patient presents a credit card for payment of today's bit. What is the amount that the patient should pay?
- Mercy for America, a private not-for-profit health care facility located in Durham, North Carolina, charged a patient $8,600 for services. It actually billed this amount to the patient’s third-party payor. The third-party payor submitted a check for $7,900 with a note stating that “the reasonable amount is paid in full per contract.” Which of the following statements is true? The patient is responsible for paying the remaining $700. The health care facility will rebill the third-party payor for the remaining $700. The health care facility recorded the $700 as a contractual adjustment that it will not collect. The third-party payor retained the $700 and will convey it to the health care facility at the start of the next fiscal period.Kara has a health insurance policy with a $2,000 deductible, $4,000 out of pocket limit, and 75/25 coinsurance clause. She had total medical bills of $10,000 for the policy period. How much does the insurer have to pay? $2,500 $2,000 $4,000 $6,000Rosa Valencia has a personal automobile policy (PAP) with coverage of $25,000/$50,000 for bodily injury liability, $10,000 for property damage liability that includes coverage for her vehicle, $5,000 for medical payments, and a $500 deductible for collision insurance. How much will her insurance cover in each of the following situations? Will she have any out-of-pocket costs? Rosa loses control when she swerves to miss a dog on the street, running into a parked car and causing $5,300 damage to the unoccupied vehicle and $3,750 damage to her own car. Rosa pulls out in front of another car and causes a serious auto accident, badly injuring three people. The injured parties win lawsuits against her for $35,000 for one individual, and the other two passengers claimed $5,000 each ($10,000 total). Rosa’s 16-year-old daughter borrows her car. She runs off the road when texting while driving and causes $450 damage to the car.
- You have a policy with a $1,000 deductible, 80/20 co-insurance, and a $7,500 maximum OOP. You become ill and are hospitalized for two days. The total cost for your treatment is $26,000. Answer the following questions. How much will you pay of the deductible? How much will you pay in co-insurance? What is the total OOP you will pay for this hospital visit? During the same policy year, you have an additional medical expense of $3,500. How much will you pay? What is your total OOP for the year-to-date? Later in the same policy year, you have a $5,000 charge for tests required after your previous hospital stay. How much will you payStephanie was involved in a car accident and rushed to the emergency room. She received stitches for a facial and treatment for a broken finger. Under Stephanie PPO plan, emergency room care at a network hospital is 80 percent covered after the member has met a 300 annual deductible. Assume that Stephanie went to a hospital within her PPO network. Her total emergency room bill was 850. What amount did Stephanie have to pay? What amount did the PPO cover?Mercy for America, a private not-for-profit health care facility located in Durham, North Carolina, charged a patient $8,600 for services. It actually billed this amount to the patient’s third-party payor. The third-party payor submitted a check for $7,900 with a note stating that “the reasonable amount is paid in full per contract.” Which of the following statements is true? Choose the correct.a. The patient is responsible for paying the remaining $700.b. The health care facility will rebill the third-party payor for the remaining $700.c. The health care facility recorded the $700 as a contractual adjustment that it will not collect.d. The third-party payor retained the $700 and will convey it to the health care facility at the start of the next fiscal period.