Health Insurance

Billy's employer pays for 65% of his annual health insurance premium. Billy has the rest deducted in equal amounts from his paycheck. If Billy has $105.73 withheld from his paychecks twice each month, how much does his employer contribute towards his heal

$4,712.54

As a part-time employee, Rachel does not qualify for any benefits from her current employer. Seeing a need for a health care program, Rachel went shopping for health insurance and is trying to decide between two options with a national health insurance pr

Rachel's health care needs will cost less under Option 1 if she is able to avoid additional health care costs.

In addition to general medical services, Holly would like to add dental and vision options to her health care plan. The monthly premium for her medical insurance is $345 of which her employer pays 65%. Her employer also offers to pay 50% of the monthly de

$145.50

The health care Jimmy's employer offers is a fee-for-service plan in which Jimmy and his family must pay for $12,500 in health related services in a calendar year before the insurance company begins to pay. Jimmy and his family have several health related

$4,280.00

In order to make premiums more affordable for their customers, Leroux Health Insurance is considering some changes to one of the plans they offer. Both the current options and proposed changes are outlined in the charts below.
If Kevin is currently insure

Costs for regularly scheduled health care will go down, but Kevin may end up paying more if he finds himself seriously ill or injured.

Javier's employer pays for 43% of his annual health insurance premium. Javier pays the remaining balance by having it deducted from his paychecks in equal amounts twice a month throughout the year. If $157.38 is deducted from each of Javier's paychecks, w

$6,626.53

Which of the following health care programs will wait to pay their share of medical coverage until after treatment is provided?

fee-for-service plan

Health insurance helps to protect you from financial loss by _____.

paying for some or all of your medical costs while you are insured.

Andrew is insured by Leroux Health Insurance under Plan A. The plan includes a $248.00 monthly premium with a $5,500.00 annual deductible (not including co-pays).
Andrew is severely asthmatic. He visits his primary care physician twice a month and his ast

$7,716.00

Patrick and Susie just welcomed a set of twins to their family and have to decide how to purchase health insurance for the babies. Patrick's employer pays for 100% of his monthly health insurance premium of $378, but will not pay for any of the $280 for e

Insure Patrick with his employer and Susie and the twins with her employer.

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

Stephanie should add Jim to her health care plan.

Which of the following statements best describes the difference between a health maintenance organization (HMO) and a preferred provider organization (PPO)?

An HMO requires the insured individual to go to a provider within their organization while a PPO allows the insured individual the option to receive care from a non-preferred provider at a higher cost.

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 car

$6,216.00

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

$6,256.88

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 c

Reduce the co-pay amounts but increase the annual deductible so that the monthly premium can stay the same.

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?

$6,984

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

the coverage the insured individual and family already receive in auto insurance

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 premi

NOT $260.50 because this is what the employer is paying
Try: $145.50

Why are the premiums for a PPO health insurance plan generally more expensive than those for an HMO Health Insurance Plan?

PPO insurance plans offer a wider choice of primary care doctors and specialists.

Which of the following is not a way health insurance helps to save you money?

Most health care plans set a portion of your premium aside in an escrow account so that you have money available in case of a medical emergency.