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Health, Medicine, Nursing
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English (U.S.)
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PH 4010 Research Paper: Health Insurance Market Assignment
Essay Instructions:
In order to get a better sense of how premiums, deductibles, co-insurance, copayments, and out-of-pocket maximums come together for different health insurance options, this assignment will walk you through various scenarios of choosing a health plan in the new Health Insurance Marketplace implemented in 2014 as a result of the ACA. Please complete the assignment before our class on October 3rd and bring a hard copy with you to class. You will need to refer to this during our class discussion and hand in the assignment in at the end of class.
Essay Sample Content Preview:
Name:
Instructor:
Course:
Date:
Medical insurance coverage
GA Scenarios
Eligible for tax credits/ other savings?
Plan chosen
Why chosen?
Premium
Deductible
Out-of-pocket max
Primary care visit
Specialist visit
Generic prescription
ER visit
GA scenario 1: 27, $500
no
Blue Cross Blue Shield Healthcare Plan Of Georgia, Inc · BCBSHP Catastrophic Pathway X Guided Access HMO 7150
This is one of the cheapest plans and allows for emergency room care, generic drugs, primary doctos and even a special doctor.
$172.46
$7,150
$7,150
Yes at no charge
Yes at no charge
Yes at no charge
Yes at no charge
GA scenario 2: 27, $12,000
Yes
Ambetter From Peach State Health Plan · Ambetter Balanced Care 4 (2017)
The plan is cheap and offers extra savings considering it was $227.55 at the premiums an now at $13.12
$13.12
$600
$600
Yes at no charge
Yes at only $5
Yes at no charge
Yes at no charge
GA scenario 4: 27, $50,000
No
Blue Cross Blue Shield Healthcare Plan Of Georgia, Inc · BCBSHP Cata...
Instructor:
Course:
Date:
Medical insurance coverage
GA Scenarios
Eligible for tax credits/ other savings?
Plan chosen
Why chosen?
Premium
Deductible
Out-of-pocket max
Primary care visit
Specialist visit
Generic prescription
ER visit
GA scenario 1: 27, $500
no
Blue Cross Blue Shield Healthcare Plan Of Georgia, Inc · BCBSHP Catastrophic Pathway X Guided Access HMO 7150
This is one of the cheapest plans and allows for emergency room care, generic drugs, primary doctos and even a special doctor.
$172.46
$7,150
$7,150
Yes at no charge
Yes at no charge
Yes at no charge
Yes at no charge
GA scenario 2: 27, $12,000
Yes
Ambetter From Peach State Health Plan · Ambetter Balanced Care 4 (2017)
The plan is cheap and offers extra savings considering it was $227.55 at the premiums an now at $13.12
$13.12
$600
$600
Yes at no charge
Yes at only $5
Yes at no charge
Yes at no charge
GA scenario 4: 27, $50,000
No
Blue Cross Blue Shield Healthcare Plan Of Georgia, Inc · BCBSHP Cata...
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