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What are the criteria for a patient to be eligible for a health insurance plan covering 2-3 chronic diseases, 2-8 Part D drugs, with an annual cost of at least $3919?

a) 1 chronic disease, 1-5 Part D drugs, annual cost less than $3919
b) 2-3 chronic diseases, 2-8 Part D drugs, annual cost at least $3919
c) 4 chronic diseases, 3-10 Part D drugs, annual cost over $3919
d) No chronic diseases, unlimited Part D drugs, annual cost negotiable

1 Answer

1 vote

Final answer:

The correct criteria for health insurance plan eligibility covering 2-3 chronic diseases, 2-8 Part D drugs, with an annual cost of at least $3919 is option b), which is 2-3 chronic diseases, 2-8 Part D drugs, and an annual cost of at least $3919.

Step-by-step explanation:

The eligibility criteria for a health insurance plan that covers patients with 2-3 chronic diseases, 2-8 Part D drugs, with an annual cost of at least $3919 are stated in option b). Therefore, the correct answer would be:

  • 2-3 chronic diseases
  • 2-8 Part D drugs
  • Annual cost at least $3919

This aligns with information about healthcare costs and coverage programs, such as the Medicare Part D prescription drug benefit which was expanded significantly in 2003 to help those with high medication costs.

In healthcare economics, understanding the interplay of disease burden, healthcare costs, and insurance coverage is crucial. Programs typically set eligibility requirements based on conditions and treatment costs to target resources effectively. Over time, the complexity of these costs has contributed to the rising price tag of healthcare, as evidenced by historical data from federal spending on programs like Medicare.

Much of the political and social landscape, including organizations like the AARP, shape the structure and focus of health care programs. In the context of escalating healthcare expenses, it's important to note that a couple at age 65 may need approximately $283,000 to cover healthcare costs in retirement. These figures surmise the importance of meeting eligibility criteria to mitigate the financial impact of long-term care.

User Moonsoo Jeong
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