Question

Hussain has a basic health insurance policy with the following specifications: $4,000 out-of-pocket maximum 10% co-insurance $1,000 deductible $25 primary care co-pay (in-network doctor) $40 specialist co-pay (with referral) How much of each of the following heath care expenses will Hussain have to pay? Assume each expense is his only medical expense during a year. $250 for an annual checkup $5,000 emergency room bill for treatment of an injury $450 to see an orthopedic specialist with a referral from his doctor $100,000 for emergency hospitalization $3,000 for dental surgery

Answer 1

The amount of the $3,650 will be the heath care expenses that Hussain have to pay.

What is a basic health insurance policy?

This is a health benefits usually for low-income residents who are eligible to purchase coverage through the Health Insurance Marketplace.

This policy does not cover all the coverage under a standard health insurance policy.

The coverage of the basic health insurance policy only includes $5,000 emergency room bill for treatment of an injury and $100,000 for emergency hospitalization.

Hence, he wiil pay for $250 for an annual checkup, $450 to see an orthopedic specialist with a referral from his doctor,  $3,000 for dental surgery.

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