This topic contains a solution. Click here to go to the answer

Author Question: Kristen has an individual medical expense policy with a 1,000 calendar-year deductible, a 5,000 ... (Read 158 times)

tnt_battle

  • Hero Member
  • *****
  • Posts: 556
Kristen has an individual medical expense policy with a 1,000 calendar-year deductible, a 5,000 annual out-of-pocket limit, and a 20 percent coinsurance requirement.
 
  Kristen was hospitalized for a surgical procedure in March, her first health care treatment received during the year. The total bill was 20,000. Considering the deductible and coinsurance, how much of this amount must Kristen pay?
  A) 4,400
  B) 4,800
  C) 5,000
  D) 5,100

Question 2

Dirk required surgery for a kidney impairment. His total bill for medical services was 50,000. Dirk has a medical expense policy with a 1,000 calendar-year deductible and a 5,000 annual out-of-pocket limit.
 
  His coinsurance percentage is 20 percent. The out-of-pocket limit applies to coinsurance only. Assuming this surgery and hospitalization were the first medical care that Dirk received during the year and that all of the hospital services were eligible for coverage under the policy, how much of the 50,000 bill will the insurer pay?
  A) 39,000
  B) 39,200
  C) 40,000
  D) 44,000



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

todom5090

  • Sr. Member
  • ****
  • Posts: 328
Answer to Question 1

Answer: B

Answer to Question 2

Answer: D





 

Did you know?

Though newer “smart” infusion pumps are increasingly becoming more sophisticated, they cannot prevent all programming and administration errors. Health care professionals that use smart infusion pumps must still practice the rights of medication administration and have other professionals double-check all high-risk infusions.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

Disorders that may affect pharmacodynamics include genetic mutations, malnutrition, thyrotoxicosis, myasthenia gravis, Parkinson's disease, and certain forms of insulin-resistant diabetes mellitus.

Did you know?

A good example of polar molecules can be understood when trying to make a cake. If water and oil are required, they will not mix together. If you put them into a measuring cup, the oil will rise to the top while the water remains on the bottom.

Did you know?

Alzheimer's disease affects only about 10% of people older than 65 years of age. Most forms of decreased mental function and dementia are caused by disuse (letting the mind get lazy).

For a complete list of videos, visit our video library