How much is Jane’s deductible?  What percentage of the bill does Jane’s health care plan pay once co-insurance begins?  What percentage of the bill does Jane pay once co-insurance begins?  How much is Jane’s out-of-pocket limit?  How much does Jane pay after she reaches her out-of-pocket limit?

Microeconomics: Principles & Policy
14th Edition
ISBN:9781337794992
Author:William J. Baumol, Alan S. Blinder, John L. Solow
Publisher:William J. Baumol, Alan S. Blinder, John L. Solow
Chapter22: Contemporary Issues In The U.s. Economy
Section: Chapter Questions
Problem 5DQ
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Question
  1. How much is Jane’s deductible? 
  2. What percentage of the bill does Jane’s health care plan pay once co-insurance begins? 
  3. What percentage of the bill does Jane pay once co-insurance begins? 
  4. How much is Jane’s out-of-pocket limit? 
  5. How much does Jane pay after she reaches her out-of-pocket limit? 
January 1
Beginning of Coverage
Period
Jane pays Her plan pays
100%
0%
Jane hasn't reached her
$1,500 deductible yet
Her plan doesn't pay any of the costs.
Office visit costs: $125
Jane pays: $125
Her plan pays: $0
more
costs
B
CE
FO
Jane pays
20%
Her plan pays
80%
Jane reaches her $1,500
deductible, co-insurance begins
Jane has seen a doctor several times and
paid $1,500 in total. Her plan pays some
of the costs for her next visit.
Office visit costs: $75
Jane pays: 20% of $75 = $15
Her plan pays: 80% of $75 = $60
more
costs
B
CO
FO
December 37
End of Coverage Period
Her plan pays
100%
Jane pays
0%
Jane reaches her $5,000
out-of-pocket limit
Jane has seen the doctor often and paid
$5,000 in total. Her plan pays the full
cost of her covered health care services
for the rest of the year.
Office visit costs: $200
Jane pays: $0
Her plan pays: $200
Transcribed Image Text:January 1 Beginning of Coverage Period Jane pays Her plan pays 100% 0% Jane hasn't reached her $1,500 deductible yet Her plan doesn't pay any of the costs. Office visit costs: $125 Jane pays: $125 Her plan pays: $0 more costs B CE FO Jane pays 20% Her plan pays 80% Jane reaches her $1,500 deductible, co-insurance begins Jane has seen a doctor several times and paid $1,500 in total. Her plan pays some of the costs for her next visit. Office visit costs: $75 Jane pays: 20% of $75 = $15 Her plan pays: 80% of $75 = $60 more costs B CO FO December 37 End of Coverage Period Her plan pays 100% Jane pays 0% Jane reaches her $5,000 out-of-pocket limit Jane has seen the doctor often and paid $5,000 in total. Her plan pays the full cost of her covered health care services for the rest of the year. Office visit costs: $200 Jane pays: $0 Her plan pays: $200
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