Answer:
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The Out-of-Pocket maximum is the limit or cap amount that has to be paid by the insured on an health plan such that the health plans then pays the entire covered health care costs (100%) once the out-of-pocket maximum limit is met by the person insured
The kinds of health care expenditure that count or a applied towards the Out-of Pocket Maximum are:
<u>Deductible</u>: The deductibles are costs that the insured has to pay from his or her pocket before the plan the individual has begins paying for the remainder of the cost. The deductibles are normally for non-preventive care
In some plans, costs such as for prescription drugs have a separate deductible
<u>Coinsurance</u>: This is the cost the insured share with the health plan, once the deductibles cost has been covered by the insured. The coinsurance counts towards the Out-of-Pocket Maximum
Learn more about health insurance here:
brainly.com/question/16393027
I am positive that: Financial Analyst, and Treasurer. Is the answer sorry if it’s wrong:(
Hi !
The distinction between an accident and a risky behavior
An accident may be caused by something , someone else than you. You're not responsible for what happened. A car may have hurt you, you may have fallen and break your legs.....and you may be hurt by someone who has risky behaviours.
People having risky behaviours are aware of what they're doing. If something happen to them they are fully responsible.
Hope I helped !
Answer:
Under ACA Section 1557, a health plan premium sold through a state exchange may charge higher premiums, based on an individual’s age.
Explanation:
According to ACA Section 1557, the value of premiums can be higher the older the age of an individual. This is because older individuals may have more health care needs covered by the health plan. This is very common in health plans sold through state exchanges.
