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 $125,500. 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 $1000 deductible and an 80/20 coinsurance clause with a $2000 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.

(a) How much of Christina's direct medical expenses was paid by her insurance policy?

(b) What did Christina have to pay for her nursing home care?

(c) How much income did Christina lose?

Answer 1

Solution:

a) Determining the Amount Christina's direct medical expenses was paid by her insurance policy:

Christina’s policy paid $50,000, the limit per episode.

b) Calculation of the amount that Christina have to Pay for Her Nusing Home Care:

Therefore, the amount that Christina have to Pay for Her Nusing Home Care is $1,000.

c) Determining the Amount of Income did Christina Lose:

Therefore. the Amount of Income did Christina Lose is $9,000.