[10 points] An individual has a health insurance plan with a deductible of $1200 and a...
Insurance Plan: Mountville Health Plan; patient has met annual deductible of $250;80-20 coinsurance. Services:CPT codes: 99203 and 90700. Usual charges are: $100& $102. Allowed charges are:$89 & $87How do you calculate between the two
Question 10 10 pts Suppose you have a health insurance plan with... • $2,000 deductible • 20% coinsurance • $9.000 out-of-pocket maximum For a surgery that costs $21,000, what will you end up paying out-of-pocket?
5) In the U.S. a majority of people have health insurance. How does the increasing prices of health care from parts (2) and (3) affect the cost for health insurance companies? a. In the graph below, show the appropriate curve shifting, b. Explain which determinant causes the shift c. State the changes in the equilibrium price and equilibrium quantity Hint: We are now looking at the health insurance market, not the health care market Market for Health Insurance Policies (2)...
Health insurance affects the demand and supply of medical care "please answer all parts neat and organized" (a.) Draw a diagram to show the equilibrium in the market for medical care. Label all the curves and the axes carefully. (b.) in the diagram of a, show the effect of decrease in the percentage of co- insurance (e.g., 50% to 10%) on the medical service demand curve. (c.) Show the effect of the change in (b) on the equilibrium price and...
1. Health savings accounts (HSAs) allow consumers to purchase a high- deductible health insurance plan and pay for the medical expenditures they incur prior to satisfying the deductible with tax-sheltered health savings. Advocates argue that this model gives consumers a strong incentive to shop for lower-priced, high-value medical care. Based on the analysis of selective contracting, under what conditions would consumers be successful in negotiating lower provider prices? 2. Medicaid programs have adopted managed care for the provision of care...
Consider how health insurance affects the quantity of health care services performed. Suppose that the typical medical procedure has a cost of s120, yet a person with health insurance pays only $20 out of pocket. Her insurance company pays the remaining s100. (The insurance company recoups the s100 through premiums, but the premium a person pays does not depend on how many procedures that person chooses to undergo.) Consider the following demand curve in the market for medical care. Use...
Sarah's comprehensive major medical health insurance plan at work has a deductible of $400. The policy pays 80 percent of any amount above the deductible. While on a hiking trip, she contracted a rare bacterial disease. Her medical costs for treatment, including medicines, tests, and a six-day hospital stay, totaled $9,440. A friend told her that she would have paid less if she had a policy with a stop-loss feature that capped her out-of-pocket expenses at $3,700. The policy with...
Moral Hazard Before we leave the subject of the impact of insurance on the demand for medical care, we need to introduce the concept of moral hazard. Moral hazard refers to the situation in which consumers alter their behavior when provided with health insurance. For example, health insurance may induce consumers to take fewer precautions to prevent illnesses or to shop very little for the best medical prices. In addition, insured consumers may purchase more medical care than they otherwise...
Maria has basic health insurance, including prescription drug coverage, with a plan year that starts on July 1, but she has no vision or dental coverage. Her coverage includes a $2,500 deductible, 75:25 coinsurance, and a stop-loss point of $10,000. Maria has been undergoing treatment for premature wrinkles. By the end of May, she's reached her stop-loss point for covered medical care. Her wrinkle treatment for the month of June will cost $1,000. How much will Maria have to pay...
ecky's comprehensive major medical health insurance plan at work has a deductible of 760. The policy pays 80 percent of any amount above the deductible. While on a hiking rip, Becky contracted a rare bacterial disease. Her medical costs for treatment, including medicines, tests, and a five-day hospital stay, totaled $8,913. A friend told her that she would have paid less if she had a policy with a stop-loss feature that capped her out-of- pocket expenses at $3,100. a. Calculate...