Math Problem Statement
The Baulding family has a basic health insurance plan that pays 80 percent of out-of-hospital expenses after a deductible of $ 250 per person. If three family members have doctor and prescription drug expenses of $ 982, $ 1 comma 582, and $ 183, respectively, how much will the Baulding family and the insurance company each pay? How could they benefit from a flexible spending account established through Mr. Baulding's employer? What are the advantages and disadvantages of establishing such an account? Question content area bottom Part 1 The Baulding family will pay $ enter your response here. (Round to the nearest dollar.) Part 2 The insurance company will pay $ enter your response here. (Round to the nearest dollar.) Part 3 How could they benefit from a flexible spending account established through Mr. Baulding's employer? What are the advantages and disadvantages of establishing such an account? (Select the best choice below.) A. A flexible spending account offers the Bauldings the advantage of paying for all health care expenses with pre-tax dollars. The only disadvantage is not having the use of your money all year. B. A flexible spending account offers the Bauldings the advantage of paying for health care expenses not covered by insurance (such as unreimbursed medical or dental expenses including co-pays to doctors, deductibles, and qualified child care) with pre-tax dollars. Disadvantages include the "use it or lose it" feature of the plan; any contributions to the flexible spending account not used by the end of the year are lost.
Solution
Let's break down the problem step by step.
Part 1: How much will the Baulding family pay?
-
Total expenses for each family member:
- $982
- $1,582
- $183
Total medical expenses:
dollars -
Deductible:
The family has a deductible of $250 per person. Since there are three family members, and all have incurred expenses, the total deductible amount will be: dollars -
Expenses after deductibles:
Subtract the total deductible from the total expenses: dollars -
Insurance coverage:
The insurance covers 80% of the expenses after the deductible: dollars -
Baulding family's portion:
Since the insurance covers 80%, the family pays the remaining 20% of the expenses after the deductible plus the deductible amount: dollars
Answer for Part 1:
The Baulding family will pay $1,149.
Part 2: How much will the insurance company pay?
The insurance company will cover the remaining 80% of the expenses after the deductible, which we calculated earlier:
Insurance payment:
dollars
Answer for Part 2:
The insurance company will pay $1,598.
Part 3: Benefits of a Flexible Spending Account (FSA)
A flexible spending account allows individuals to use pre-tax dollars to pay for health care expenses not covered by insurance, such as co-pays, deductibles, and other out-of-pocket expenses. Let's evaluate the options:
Option B is correct:
A flexible spending account offers the Bauldings the advantage of paying for health care expenses not covered by insurance (such as unreimbursed medical or dental expenses, including co-pays to doctors, deductibles, and qualified child care) with pre-tax dollars. Disadvantages include the "use it or lose it" feature of the plan; any contributions to the flexible spending account not used by the end of the year are lost.
Summary:
- Baulding family pays: $1,149
- Insurance company pays: $1,598
- Best FSA Option: B
Would you like more details or have any questions?
Related Questions:
- How would the calculation change if only two family members had medical expenses?
- What are some ways to maximize the benefits of a flexible spending account?
- Can the Baulding family set a higher deductible plan to reduce premiums? What would be the trade-offs?
- How would switching to a different insurance plan affect the overall cost?
- What is the maximum allowable contribution to an FSA under current regulations?
Tip:
Consider estimating your yearly medical expenses to determine how much to contribute to a flexible spending account to avoid losing unused funds.
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Math Problem Analysis
Mathematical Concepts
Basic arithmetic
Percentage calculations
Formulas
Total expenses = sum of individual expenses
Total deductible = deductible per person * number of people
Expenses after deductible = total expenses - total deductible
Insurance payment = 80% of expenses after deductible
Family payment = 20% of expenses after deductible + total deductible
Theorems
-
Suitable Grade Level
Grades 10-12
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