Reference no: EM13889212
Health policy
You will be examining the medical expenses for ''jill''; an Emory University employee. Using the 2014 Benefit Guide, you will calculating her out-of-pocket and other expenses as determined by different health plan scenarios.
Scenario
Jill works for Emory University. Her medical expenses for last year were as follows. Calculate her out-of-pocket expenses. Then answer the questions below.
• $75 office visit for a sore throat at her primary care physician (in network)
• $75 annual gynecological exam (in network)
• $4500 trip to the Emory Hospital ER for a kidney stone (EPN)
• $200 office visit for a nephrologist (in network)
• $200 diagnostic lab from her nephrologist visit (in network)
• $95 teeth cleaning (in network)
• $65 routine eye exam (in network)
• $250 new contact lenses
*Assume that the in-network providers listed above are NOT in the Emory Provider Network (EPN) unless otherwise stated.
Calculate the following
Suppose Jill selected the Emory HSA Plan (individual, no spouse or family members covered). She also opted into the additional vision plan and the Aetna traditional dental plan (PPO).
1. Calculate Jill's annual premium for medical coverage. Assume she works at least 30 hours per week.
2. Calculate Jill's annual premium for vision
3. Calculate Jill's annual premium for dental.
4. Calculate Jill's out of pocket costs for the year (use the back of this sheet to show your work)
5. Subtract Emory's contribution to her HSA.
6. Ignoring earned incentives and taxes, calculate how much Jill paid for medical expenses this year, including premiums and cost sharing.
Suppose Jill selected the Emory POS plan (Individual, no spouse or family members covered). She did not opt into the vision plan or the dental plan.
7. Calculate Jill's annual premium for medical coverage. Assume she works at least 30 hours per week
8. Calculate Jill's out of pocket costs for the year (use the back of this sheet to show your work). Note: Assume that a routine annual eye exam is covered under routine preventive medical care. Contacts and teeth cleaning are not, nor do they count toward her medical plan's deductible.
9. Ignoring earned incentives and taxes, calculate how much Jill paid for medical expenses this year, including premiums and cost sharing.
10. In this case, which plan had the lower annual out-of-pocket cost?
|
Maximum magnitude of any of the poles
: Show that if x[n] is a right-sided sequence and X(z) converges for some value of z, then the ROC of X(z) is of the form lzl > rmax or 00 > IZI > r max where rmax is the maximum magnitude of any of the poles of X(z).
|
|
How would you describe probability from a statistics
: How would you describe "probability" from a Statistics for Business perspective to a person that has limited exposure to statistics?
|
|
Is there a future for the bricks and mortar bookstore
: Borders book store closed down a few years ago and Barnes and Noble is closing many of their outlets even in South Florida. Is there a future for the bricks and mortar bookstore? Will consumers be forced to buy books online in the future? Predict ..
|
|
Quantitative and qualitative research methods paper
: Define appropriate academic research and define quantitative research and qualitative research. Explain how they differ, and relate each to the human services field and the scientific method.
|
|
Examining the medical expenses for jill
: Examining the medical expenses for ''jill''; an Emory University employee. Using the 2014 Benefit Guide, you will calculating her out-of-pocket and other expenses as determined by different health plan scenarios.
|
|
Discuss the processes of planning
: Business Continuity Planning: Explain how components of the business infrastructure are included in a business continuity plan. Discuss the processes of planning, analysis, design, implementation, testing and maintenance in developing this plan
|
|
Describe the four components of the balanced score card
: Watch the video, "The Balanced Scorecard" and answer the following questions: https://youtu.be/M_IlOlywryw. Identify and describe the four components of the Balanced Score Card
|
|
Compare the pricing strategies of walmart and publix
: Compare the pricing strategies of Walmart and Publix. If you were a marketing consultant to Publix, do you recommend any changes in the Publix pricing strategy? Explain your answer.
|
|
Compute the degree of operating leverage for each company
: Compute the degree of operating leverage for each company and interpret your results. Assuming that sales revenue increases by 10%, prepare a variable costing income statement for each company.
|