6. Brady Adams is single and has a health insurance plan with the benefits shown in the figure below. His recent network health care costs include co-payments for 7 physician visits and 8 specialist visits. Following
hospital surgery he made co-payments for 12 physical therapy visits and he had 80 visits from a home health
care marse at $55 each. His hospital admission charge was $250 and his hospital bill was $15,098. What
amount did he pay?
85%**
Health Care Benefits Schedule
Network Non-Network
Annual Deductible
Single
$275
$ 400
Family
$750
$1,600
Hospital Charges
80%**
70%**
Home Health Care
First 50 visits
100%"
85%**
Over 50
80%**
Co-insurance Co-payment Physician visit
$ 15
$ 18
Specialist
$ 30
$ 35
Physical Therapy
First 15 visits
$ 15
80%**
Over 15 visits
85%" 75%**
Emergency Room
$ 55
$ 55
Ambulance
$ 20
S 20
"Non-Network refers to a health care provider that doesn't have a contract with the health
plan administrator
**Percentage of total cost that is covered by the health care company.
a
b
$3,819.60
$4, 149.60
C $4.399.60
d. $5,389.60