Health Insurance Answers

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1
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Gerald would like to add a dental and vision option to the health insurance plan he purchased through his employer. In addition to the 65% of Gerald’s $345 monthly health insurance premium, his employer has offered to pay 50% of a $38 monthly dental premium and 75% of a $23 monthly vision premium. If Gerald adds both the dental and vision options to his insurance plan, how much will he pay each month towards health insurance?Soopergood InsuranceOptionMonthly PremiumEmployer ContributionHealth Insurance$345 65%Dental$38 50%Vision$23 75%

A
$141.75
B
$145.50
C
$149.50
D
$260.50
2
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Sally’s employer pays for 38% of her annual health insurance premium of $4,350.00. Sally pays the remaining balance by having it deducted in equal amounts from her 26 paychecks throughout the calendar year. How much will Sally have deducted from each paycheck?

A
$63.58
B
$103.73
C
$137.75
D
$207.46
3

What is the difference between a co-payment and co-insurance?

A
Co-payment refers to two spouses paying for the same coverage, and co-insurance refers to two spouses receiving the same benefits.
B
A co-payment is a flat fee for each service, and co-insurance is based on a percentage of the costs incurred.
C
Co-payment is when a group of individuals work to cover each other’s medical expenses, and co-insurance is when an individual has multiple insurance policies from different companies.
D
A co-payment is when an employer helps an employee pay for insurance premiums, and co-insurance is when an employer helps an employee find better insurance than they could alone.
4

Mr. Henderson’s annual premium of $4,668 is covered entirely by his employer along with 25% of the $9,264 premium for his wife and kids. How much of the Henderson family’s annual premium is being paid for by Mr. Henderson’s employer?

A
$2,316
B
$3,483
C
$6,984
D
$10,431
5

Bob’s employer covers 23% of his family’s annual health insurance premium. The balance of the premium is deducted in equal amounts from Bob’s paycheck 26 times over the calendar year. If $185.30 is withheld from each of Bob’s paychecks, what is his family’s annual health insurance premium?

A
$805.65
B
$4,817.80
C
$6,256.88
D
$20,946.96
6

Liam has purchased a fee-for-service health insurance plan from Leroux Health Insurance. Plan A includes a $248.00 monthly premium and an annual deductible of $5,500.00 (not including co-pays). Liam is a fairly healthy young man. He visits his primary care physician three times a year on scheduled visits. He sees a chiropractic specialist every week to help with lower back pain. He has no current prescriptions that need refilling regularly.Assuming Liam maintains his regular visits with his primary care physician and his chiropractor, and avoids any trips to the emergency room or urgent care, how much will Liam pay in health care related fees this year?Leroux Health InsurancePlan A Cost: Monthly Premium: $248.00 Annual Deductible: $5,500.00 Co-pays: Brand-name Prescriptions $35.00 Generic Prescriptions $15.00 Visits: Primary Care Physician: $40.00 Specialist: $60.00 Urgent Care: $125.00 Emergency Room: $325.00

A
$716.00
B
$3,816.00
C
$5,500.00
D
$6,216.00
7

Jim and Stephanie just got married and are thinking about changing their health care insurance plans to be more affordable. Currently, both Jim and Stephanie are insured through their own employers. Jim’s employer pays 42% of his $378 monthly premium. His insurance plan will also pay for 23% of the $345 premium for additional beneficiaries. Stephanie’s employer pays 35% of her $298 monthly premium but offers to pay an extra 10% of her premium for each beneficiary Stephanie adds to her plan. Her employer would then pay 30% of the $349 premium for each additional beneficiary.Insurance Jim's Employer BeneficiaryMonthly PremiumEmployer ContributionJim$378 42%Additional (each)$345 23% Stephanie's EmployerBeneficiaryMonthly PremiumEmployer ContributionStephanie$298 35% (+10% for each additional beneficiary)Additional (each)$349 30%Which would be the most economical way for the couple to purchase health insurance?

A
They should both add each other to their plans.
B
Stephanie should add Jim to her health care plan.
C
Jim should add Stephanie to his health care plan.
D
They should each purchase a plan from their own employer.
8

Leroux Health Insurance is considering changing the options in one of their health care plans (Plan A) based on customer feedback that prescriptions and regular visits to the doctor are too expensive for the insured individual. How can Leroux reduce the costs of regular health care without driving up the price of their health care plan?Leroux Health InsurancePlan A Cost: Monthly Premium: $248.00 Annual Deductible: $5,500.00 Co-pays: Brand-name Prescriptions $35.00 Generic Prescriptions $15.00 Visits: Primary Care Physician: $40.00 Specialist: $60.00 Urgent Care: $125.00 Emergency Room: $325.00

A
Reduce the monthly premium but increase the co-pay amounts to compensate for the lower premium.
B
Reduce the annual deductible, but increase the co-pay amounts so that the monthly premium can stay the same.
C
Reduce the co-pay amounts but increase the annual deductible so that the monthly premium can stay the same.
D
Reduce the co-pay amounts but increase the monthly premium to compensate for the lower deductible.
9

The health benefits Tom receives from his employer cover 43% of the total monthly premium of $345.00. How much does Tom have to pay each month?

A
$148.35
B
$196.65
C
$302.00
D
$288.00
10

Which of the following is something that should not be a consideration when choosing a health care plan?

A
annual premiums to be paid by the insured individual and family
B
deductible or co-pay to be paid by the insured individual and family
C
total coverage received by insured individual and family
D
the coverage the insured individual and family already receive in auto insurance

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