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Health Insurance – Questions & Detailed Answers
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Health Insurance – Questions & Detailed Answers
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Health Insurance – Questions & Detailed AnswersAndrew is insured by Leroux Health Insurance under Plan A. The plan
includes a $248.00 monthly premium with a $5,500.00 annual deductible
(not including co-pays).
Andrew is severely asthmatic. He visits his primary care physician twice a
month and his asthma specialist once a month. He has two separate generic
inhalers that need to be refilled on a weekly basis. To make matters worse,
Andrew has recently been diagnosed with appendicitis and is scheduled to
have his appendix removed in the morning. The procedure will cost about
$1,500.
Considering his frequent doctor visits, many prescription refills, and his
appendix removal in addition to his monthly premium, how much will
Andrew pay in health care related fees this year? Correct Ans - D
In order to make premiums more affordable for their customers, Leroux
Health Insurance is considering some changes to one of the plans they
offer. Both the current options and proposed changes are outlined in the
charts below.
If Kevin is currently insured under Leroux for his medical insurance under
Plan A, how will the proposed changes affect his health care costs?
Correct Ans - A
The health care Jimmy's employer offers is a fee-for-service plan in which
Jimmy and his family must pay for $12,500 in health related services in a
calendar year before the insurance company begins to pay. Jimmy and his
family have several health related issues that demand $685.00 each month.
If one of Jimmy's children were to become seriously injured at the end of
the year, how much would the related health costs need to be in order for
the insurance company to assume responsibility? Correct Ans - B
Billy's employer pays for 65% of his annual health insurance premium.
Billy has the rest deducted in equal amounts from his paycheck. If Billy has
$105.73 withheld from his paychecks twice each month, how much does
his employer contribute towards his health insurance on an annual basis?
Correct Ans - D
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