Chapter 2 Summary of Benefits and Coverage Student Version

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University of Kansas *

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1000

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Information Systems

Date

Dec 6, 2023

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1

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10 Points Use figure 2.1 from the textbook to identify the cost-sharing components. Complete the accompanying table. Question Answer What is the cost-sharing for a generic drug, network provider? $10 What is the cost-sharing for a tier 2 drug purchased at an out- of- network pharmacy? 40% What is the cost-sharing for a specialty drug, network provider? 50% What is the cost-sharing for a network immunization visit? No charge What is the cost-sharing for a network primary care visit $35 What is the cost-sharing for a network specialist visit? $50 What is the cost-sharing for an out-of-network primary care visit? 40% What is the cost-sharing for x-rays provided by a network provider? $10 What is the cost-sharing for outpatient surgery provided at a network facility? $100 day What is the cost-sharing amount for the surgeon fees for outpatient surgery provided at an out-of-network facility? 40% pg. 1 CHAPTER 2 SUMMARY OF BENEFITS AND COVERAGE
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