Explanation of Benefits
PatchUp to the Rescue!
Sometime after Bobby gets his cast off, a letter arrives in the mailbox. Mr. Bones notices it’s from PatchUp, the Bones’ health plan. He opens it up nervously. It turns out that it’s PatchUp’s explanation of benefits (a statement you receive in the mail describing what your health insurance did and didn’t cover). Mr. Bones pours his eyes over the document.
It turns out that if Bobby Bones was uninsured, the ER would cost $1000, the first appointment with Dr. Joints would cost $100, the appointment to put in the cast would cost $400, and the appointment to take the cast off would be $100. That makes a grand total of $1,600 if the Bones’ did not have health insurance.
However, all the services used to fix Bobby up were in-network providers that have a deal with PatchUp. So, the contracted rate of the ER visit is now $500, the first appointment is $50, the second appointment $300, and the last appointment $50. That makes a grand total of $900 (plus the copayment of $140). “Well, that’s a little bit better,” thinks Mr. Bones, “But I still think we could save some more money.” Hold on there, Boney.
health insurance intro
financial factoid
More than one in 10 adults (13%), or more than 29 million people, do not have medical insurance and this number grows to 20 percent among Gen-Y adults. (Source: Harris 2009 Financial Literacy Study)
check out these articles
- An I.B.M. Computer Program Rewards Healthy Diets May 12, 2012A computer program developed at I.B.M. uses game techniques and psychology to influence dieting: eat a salad, for example, and you could win 50 cents. […]
- Slippery-Slope Logic vs. Health Care Law - Economic View May 12, 2012The court debate over the new health care law offers yet another example of worrying about imaginary risks. […]
- Path to Same-Sex Marriage Probably Runs Through Courts May 11, 2012Efforts by gays and lesbians to overcome the legal obstacles faced by same-sex couples, notably the Defense of Marriage Act, may best be fought in courtrooms. […]
- Medical Debts Can Leave Stains on Credit Scores May 5, 2012As patients assume more of the responsibility for costs, complex billing and more aggressive collection by providers are resulting in negative credit report data that lingers for years. […]
