Do the Math #1: Health Care Coverage Amounts. Christina Haley of San Marcos, Texas, age 61, recently suffered a severestroke. She was in intensive care for 12 days and was hospitalized for18 more days. After being discharged from the hospital, she spent 45days in a nursing home for medically necessary nursing andrehabilitative care.Christina had a comprehensive health insurance planthrough her employer. The policy had a $1,000 deductible, a $50,000episode limit, and a $250,000 annual limit with an 80/20 coinsuranceclause with a $2,000 coinsurance cap. Christina’s policy covered themedically necessary services performed in a nursing home setting. Hertotal bill was $125,765.
- a) How much of Christina’s expenses was paid by her insurance policy?
- b) How much did Christina pay?
Do the Math #2: Health Care Coverage Amounts. Michael Howitt of Berkley, Michigan, recently had his gallbladderremoved. His total bill for this event, which was his only health careexpense for the year, came to $13,890. His health insurance plan has a$500 annual deductible and an 80/20 coinsurance provision. The cap onMichael’s coinsurance share is $2,000.
- a) How much of the bill will Michael pay?
- b) How much of the bill will be paid by Michael’sinsurance?