COMPARE THE PLANS PROVIDED AND DETERMINE THE BEST PLAN FOR BETSY.Health Care reform has made insurance accessible to everyone. As a consumer it is important to be able to understand and compare health care coverage options.

COMPARE THE PLANS PROVIDED AND DETERMINE THE BEST PLAN FOR BETSY.Health Care reform has made insurance accessible to everyone. As a consumer it is important to be able to understand and compare health care coverage options.

Health Care reform has made insurance accessible to everyone. As a consumer it is important to be able to understand and compare health care coverage options. From a marketing perspective, consider consumers and why it would be important to understand consumer needs and how to market to different consumers based on their needs.

Complete the Case Study Comparisons worksheet.

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University of Phoenix Material

Case Study Comparisons

Part 1

Complete the chart below that differentiates the following insurance types.

Plan Type Characteristics of Plan (5 to 7 characteristics) Target Audience for Plan
Indemnity Plan
Preferred Provider Organization (PPO)
Health Maintenance Organization (HMO)
Consumer Directed Health Plan (CDHPs)
Medicaid
Medicare

Part 2

Review the insurance plans and answer the following questions.

Services Bronze Silver Gold
Monthly Cost $163.00 $194.00 $245.00
Deductible $6,000.00 $4,000.00 $1000.00
Primary Care $35.00 copay for three visits, then 20% of coinsurance $30.00 copay/provider/day $20.00 copay/provider/day
Specialist Visit $70.00 copay for three visits, then 20% of coinsurance $60.00 copay/provider/day $40.00 copay/provider/day
Preventive care/Screening/Immunization No charge No charge No charge
Diagnostic Test (x-ray, blood work) $35.00 copay or 20% of coinsurance if copay limit is researched Office visit copay or 20% of coinsurance Office visit copay or 20% of coinsurance
Level 1 Prescription Drugs $25 copay/30 day supply $15.00 copay/30 supply $15.00 copay/30 supply
Emergency Room Services 20% of coinsurance $350.00 copay/facility/day $250.00 copay/facility/day
Emergency Medical Transportation 20% of coinsurance 20% of coinsurance 20% of coinsurance
Urgent Care $75 copay $60.00 copay/provider/day $60.00 copay/provider/day
Hospital Stay (Facility fee, physician/surgeon fee) 20% of coinsurance 20% of coinsurance 20% of coinsurance


 

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