Mrs. Garcia came to the Obstetrics Department of Monroe Health System pregnant and ready to deliver her first baby. She has health insurance coverage with United Healthcare provided by her employer. United has a contract with Monroe Health System, that gives United Healthcare a 20% discount from Monroe's full established rates. If Monroe Health System's rate for normal newborn delivery, including mother and baby, is $5,700, what is the amount of the contractual allowance that must be recorded related to the delivery of Mrs. Garcia's baby? A. $1,140.00 B.$1,410.00 C. $3,850.00 D.$4,560.00 E.$6,840.00
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- The Baulding family has a basic health insurance plan that pays 80 percent of out-of-hospital expenses after a deductible of $250 per person. If three family members have doctor and prescription drug expenses of $984, $1,507, and $213 respectively, how much will the Baulding family and the insurance company each pay? How could they benefit from a flexible spending account established through Mr. Baulding's employer? What are the advantages and disadvantages of establishing such an account? The Baulding family will pay? The insurance company will pay? How could they benefit from a flexible spending account established through Mr. Baulding's employer? What are the advantages and disadvantages of establishing such an account?Ronald started his new job as controller with Aerosystems today. Carole, the employee benefits clerk, gave Ronald a packet that contains information on the company's health insurance options. Aerosystems offers its employees the choice between a private insurance company plan (Blue Cross/Blue Shield), an HMO, and a PPO. Ronald needs to review the packet and make a decision on which health care program fits his needs. The following is an overview of that information. a. The monthly premium cost to Ronald for the Blue Cross/Blue Shield plan will be $45.32. For all doctor office visits, prescriptions, and major medical charges, Ronald will be responsible for 20 percent and the insurance company will cover 80 percent of covered charges. The annual deductible is $350. b. The HMO is provided to employees free of charge. The copayment for doctors' office visits and major medical charges is $15. Prescription copayments are $9. The HMO pays 100 percent after Ronald's copayment. There is no…Ronald started his new job as controller with Aerosystems today. Carole, the employee benefits clerk, gave Ronald a packet that contains information on the company's health insurance options. Aerosystems offers its employees the choice between a private insurance company plan (Blue Cross/Blue Shield), an HMO, and a PPO. Ronald needs to review the packet and make a decision on which health care program fits his needs. The following is an overview of that information. a. The monthly premium cost to Ronald for the Blue Cross/Blue Shield plan will be $43.27. For all doctor office visits, prescriptions, and major medical charges, Ronald will be responsible for 20 percent and the insurance company will cover 80 percent of covered charges. The annual deductible is $500. b. The HMO is provided to employees free of charge. The copayment for doctors' office visits and major medical charges is $10. Prescription copayments are $5. The HMO pays 100 percent after Ronald's copayment. There is no…
- The Baulding family has a basic health insurance plan that pays 80 percent of out-of-hospital expenses after a deductible of $ 250$250 per person. If three family members have doctor and prescription drug expenses of $ 684$684, $ 1 comma 496$1,496, and $ 188$188, respectively, how much will the Baulding family and the insurance company each pay? How could they benefit from a flexible spending account established through Mr. Baulding's employer? What are the advantages and disadvantages of establishing such an account? Question content area bottom Part 1 The Baulding family will payRonald started his new job as a controller with Aerosystems today. Carole, the employee benefits clerk, gave Ronald a packet that contained information on the company’s health insurance options. Aerosystems offers its employees the choice between a private insurance company plan (Blue Cross or Blue Shield), an HMO, and a PPO. Ronald needs to review the packet and make a decision on which health care program best fits his needs. The following is an overview of that information. The monthly premium cost for Ronald for the Blue Cross or Blue Shield plan will be $47.34. For all doctor's office visits, prescriptions, and major medical charges, Ronald will be responsible for 20 percent and the insurance company will cover 80 percent of the covered charges. The annual deductible is $500. The HMO is provided to employees free of charge. The copayment for doctors’ office visits and major medical charges is $15. Prescription copayments are $15. The HMO pays 100 percent after Ronald’s…Lucy is Having a Baby Below are typical medical care services for prenatal care and a hospital delivery. Medical Care Service Medical Charge Specialist office visits (14 prenatal care visits with Obstetrician) $3,233 Diagnostic test (3 ultrasounds as part of prenatal care, 4 lab tests) $388 Childbirth/Delivery Professional Services (Obstetrician charges for delivery) $2,050 Childbirth/Delivery Facility Services (Hospital stay for delivery) $15,190 Newborn Care (Inpatient pediatric care) $183 Specialist visit (Anesthesiology): $525 In this example, Lucy’s annual expected out-of-pocket expenses would be: ___________ Mia’s Simple Leg Fracture Below are typical medical care services for in-network emergency room care and follow up. Medical Care Service Medical Charge Emergency Room Care Facility Services $1300 Emergency Room Professional Services (Physician charges during visit) $345 Diagnostic test (x-ray):…
- Ronald started his new job as a controller with Aerosystems today. Carole, the employee benefits clerk, gave Ronald a packet that contained information on the company’s health insurance options. Aerosystems offers its employees the choice between a private insurance company plan (Blue Cross or Blue Shield), an HMO, and a PPO. Ronald needs to review the packet and make a decision on which health care program best fits his needs. The following is an overview of that information. The monthly premium cost for Ronald for the Blue Cross or Blue Shield plan will be $44.82. For all doctor office visits, prescriptions, and major medical charges, Ronald will be responsible for 30 percent and the insurance company will cover 70 percent of the covered charges. The annual deductible is $450. The HMO is provided to employees free of charge. The copayment for doctors' office visits and major medical charges is $10. Prescription copayments are $7. The HMO pays 100 percent after Ronald's copayment.…Ronald started his new job as a controller with Aerosystems today. Carole, the employee benefits clerk, gave Ronald a packet that contained information on the company’s health insurance options. Aerosystems offers its employees the choice between a private insurance company plan (Blue Cross or Blue Shield), an HMO, and a PPO. Ronald needs to review the packet and make a decision on which health care program best fits his needs. The following is an overview of that information. The monthly premium cost for Ronald for the Blue Cross or Blue Shield plan will be $48.32. For all doctor's office visits, prescriptions, and major medical charges, Ronald will be responsible for 20 percent and the insurance company will cover 80 percent of the covered charges. The annual deductible is $500. The HMO is provided to employees free of charge. The copayment for doctors’ office visits and major medical charges is $25. Prescription copayments are $30. The HMO pays 100 percent after Ronald’s…The Tucker family has health insurance coverage that pays 65 percent of out-of-hospital expenses after a deductible of $1,360 per person. If one family member has doctor and prescription medication expenses of $4,000, what amount would the insurance company pay?
- Josephine visits her dentist in downtown victoria bc, to have a cavity field. The procedure costs her $550 but a maximum fee for a standard filling, according to the provincial dental schedule is $400. Josephine works for a company that offers employees group dental coverage with a yearly maximum of $1000 and an 80% co-insurance factor. How much will Josephine recieve from the insurer for her procedure?Stephanie 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?Latesha Moore has a choice at work between a traditional health insurance plan that pays 80 percent of the cost of doctor visits after a $250 deductible and an HMO that charges a $55 co-payment per visit plus a $1919 monthly premium deduction from her paycheck. Latesha anticipates seeing a doctor once a month for her high blood pressure. The cost of each office visit is $6060. She normally sees the doctor an average of three times a year for other health concerns. Comment on the difference in costs between the two health-care plans and the advantages and disadvantages of each. Question content area bottom Part 1 Latesha would pay an annual out-of-pocket cost with the traditional plan of