
INsurance question im stuck on?
Michael Cheung was seriously injured in a snowboarding accident that broke both his legs and an arm. His medical expenses included 4 days of hospitalization at $1,300 a day, $6,500 in surgical fees, $7,500 in physician’s fees (including time in the hospital and seven follow-up office visits), $430 in prescription medications, and $1,800 for physical therapy treatments. All of these charges fall within customary and reasonable payment amounts.
a.If Michael has an indemnity plan that pays 80% of his charges with a $500 deductible and has a $5,000 stop-loss provision, how much will he have to pay out-of-pocket? Round to the nearest dollar.
$
b.What would Michael’s out-of-pocket expenses be if he belonged to an HMO with a $40 co-pay for office visits? Round to the nearest dollar.
$
Michael is going to have to call the number on the back of his insurance card, and ask how coverage applies.
You didn’t mention if the providers are in network or not.
Michael Hubbs: My Progress- Physical Therapist & MRI Report
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