Question

Health Care Event Protection

Christina Haley of San Marcos, Texas, age 57, recently suffered a stroke. She was in intensive care for 3 days and was hospitalized for 10 more days. Her total bill for this care was $135,500. After being discharged from the hospital, she spent 25 days in a nursing home at a cost of $170 per day. Christina, who earns $4,500 per month, missed two months of work. Christina had a health insurance plan through her employer. The policy had a $1,000 deductible and an 80/20 coinsurance clause with a $2,000 coinsurance cap. She had also accumulated 21 sick days (equivalent to one month) at work. Otherwise she had no long-term care or disability income insurance.
1. How much of Christina’s direct medical expenses was paid by her insurance policy?
2. What did Christina have to pay for her nursing home care?
3. How much income did Christina lose?

Answer 1

$ 132,500

$4,250

$9000

Step-by-step explanation:

From the given information:

Christina Haley of San Marcos who's aged 57 years recently suffered from stroke.

She was in intensive care for 3 days and was hospitalized for 10 more days

Total bill = $135,500

After Discharge;

she spent 25 days in a nursing home at a cost of $170 per day

Amount earned by Christiana per month at her work = $4500

She missed 2 months of going to work.

Christina had a health insurance plan through her employer.

The policy had a $1,000 deductible and an 80/20 coinsurance clause with a $2,000 coinsurance cap

1. How much of Christina’s direct medical expenses was paid by her insurance policy?

The amount the insurance policy paid can be known by the expression:

= Total bill amount for the care - deduction for policy - coinsurance cap

= $135,000 - $1000 - $2,000

= $ 132,500

2. What did Christina have to pay for her nursing home care?

We are being told that She spent 25 days in a nursing home at a cost of $170 per day

Thus; the amount Christina have to pay for her nursing home care = 25 × $ 170

= $4,250

3. How much income did Christina lose?

We knew she missed two months from work and she collect $4500 per month.

Thus the amount of income she lose = $4500 × 2

the amount of income she lose = $9000