Christina Haley of San Marcos, Texas, age 61, recently suffered a severe stroke. She was in intensive care for 12 days and was hospitalized for 18 more days. After being discharged from the hospital, she spent 45 days in a nursing home for medically necessary nursing and rehabilitative care. Christina had a comprehensive health insurance plan through her employer. The policy had a $1,000 deductible, a $50,000 episode limit, and a $250,000 annual limit with an 80/20 coinsurance clause with a $2,000 coinsurance cap. Christinas policy covered the medically necessary services performed in a nursing home setting. Her total bill was $125,765.

a. How much of Christinas expenses was paid by her insurance policy? b. How much did Christina pay?

Question

Christina Haley of San Marcos, Texas, age 61, recently suffered a severe stroke. She was in intensive care for 12 days and was hospitalized for 18 more days. After being discharged from the hospital, she spent 45 days in a nursing home for medically necessary nursing and rehabilitative care. Christina had a comprehensive health insurance plan through her employer. The policy had a $1,000 deductible, a $50,000 episode limit, and a $250,000 annual limit with an 80/20 coinsurance clause with a $2,000 coinsurance cap. Christinas policy covered the medically necessary services performed in a nursing home setting. Her total bill was $125,765.

a. How much of Christinas expenses was paid by her insurance policy? b. How much did Christina pay?

directrix · Answer

Working solution posted here. http://openstudy.com/study#/updates/548ba4f7e4b05733b80cd7fb @bobbiebergeron