Question

The health insurance plan has an annual deductible of $250 per family or $100 per individual for care outside of the plan’s selected doctors or medical practices. For care within the plan’s selected providers, the insurance company will pay 100% of expenses. For outside care, after the deductible has been satisfied, the insurance company will pay 100% of the covered medical expenses. When the medical expenses exceed $5000 in one calendar year, the insurance company will pay 100% of the covered expenses incurred in excess of $5,000.
Which conclusion is correct based on the information provided?
The insurance company pays all covered medical expenses.
The individual pays one half of his or her medical expenses.
Insurance is less expensive for a family than for an individual if they see doctors outside the plan.
The insurance company pays more expenses for care received by doctors it selects than for care received by doctors outside of the plan.

Answer 1

A) The insurance company pays all covered medical expenses.