100 likes | 204 Vues
Health Insurance. - A plan which pays for part or all of a person’s medical costs. PREMIUM: The amount you pay for insurance DEDUCTIBLE: The amount you have to pay each year before insurance will kick in. Health Maintenance Organizations (HMOs). Pay Monthly premium
E N D
Health Insurance - A plan which pays for part or all of a person’s medical costs
PREMIUM: The amount you pay for insurance • DEDUCTIBLE: The amount you have to pay each year before insurance will kick in
Health Maintenance Organizations(HMOs) • Pay Monthly premium • Few or no out of pocket expenses • See only physicians who have signed agreement with the HMO
Preferred Provider Organizations(PPOs) • Members pay monthly premium • Providers (doctors) charge organization (insurance company) less than their regular fee for members to use • Can choose provider out of plan • Has higher out of pocket expense
Practice (Pg. 71) • #1 Hospital = $3500 5 doc appointments @ $95 How much does he pay with his insurance? Cost= 20% Hospital + $15 (5 appointments) C= 0.20H + 5($15) (answer: D)
Practice (Pg. 71) • #2 Eye Exam $100 Glasses $365 Insurance pays: $365- $100 = $265 (answer choice: A)
Hernandez $243 per month 80% of hospital $15 per doc visit No Vision Gomez $405 per month All Hospital $10 per doc visit 100% Eye Exam $100 for glasses/ contacts #3 Coverages
Medical Expenses 1 Year • $10,000 Hospital Stay • 12 Doctor trips • 4 Eye Exams @ $100 • 2 Glasses @ $300 each
Hernandez __________ Hospital ___________Doc Visit ___________Vision ___________Glasses ____________TOTAL _________ insurance _________ med expense _________ Total Out of Pocket Hernandez
Gomez __________ Hospital ___________Doc Visit ___________Vision ___________Glasses ____________TOTAL _________ insurance _________ med expense _________ Total Out of Pocket Gomez