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hi could you please help me with A&B 1. Christina Haley of Rockford, Illinois, a

ID: 2735616 • Letter: H

Question

hi could you please help me with A&B

1. Christina Haley of Rockford, Illinois, age 61, recently suffered a severe stroke. S was in intensive care for 12 days and was hospitalized for 18 m days. After being discharged from the hospital, she spent 45 days in a nursing home for medically necessary nursing and rehabilitative care. Christina had a comprehensive health insurance plan through her employer. The policy had a $1000 deductible, a S50,000 episode limit, and a $250,000 aggregate limit with a 80/20 coinsurance clause with a $2000 coinsurance cap. Christina's policy covered the medically necessary services performed in a nursing home setting. Her total medical bill was $125,765. (a) How much of Christina's expenses were paid by her insurance policy? (b) How much did Christina pay?

Explanation / Answer

The policy ahs episode limit of $50000 menaing whatever is the case maximum she can get form insurance is 50,000 only

b)christina pay=125,765-50,000=$75,765