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1) What is the difference between Tricare and ChampVA? 2) If Jill's covered surgery cost $10,000...

1) What is the difference between Tricare and ChampVA?

2) If Jill's covered surgery cost $10,000 and her out-of-pocket maximum was $1000, how much would Jill's surgery end up costing her?

3)Jack had knee surgery.

His physician charged 5000

His insurance allowed 4000

Jack has a 1000 deductible that has not been met.

Jack's insurance pays 80/20.

Jack's insurance has an out-of-pocket maximum of 4000.

A. How much out-of-pocket will Jack have to pay?

B. How much will Jack's insurance pay?

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Answer #1

1) Tricare is one of the government programs which provide healthcare services to the active military,retirees and their family members whereas CHAMPVA is the Civilian health and Medical Program of the Department of Veterans Affairs who is responsible to bear the cost of some health care services provided to eligible participants.

2) Jill's surgery end up costing = $ 10000 + $1000= $11000

3)Total cost of Knee surgery = 5000

A) Jack will have to pay out of pocket = 20% of 5000 = 1000

B) Jack's Insurance will pay = 80% of 5000 = 4000

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