Kibata

Sign In

Our Services

Get 15% Discount on your First Order

Order Now
[rank_math_breadcrumb]

Health Insurance Exchange

See attached 

Instructions For this assignment, you will research and analyze four insurance plans offered by a federally facilitated health insurance exchange (marketplace). Download the Excel “Health Insurance Exchange Assignment Template” which includes a completed submission example on one sheet and a blank template for you to complete.

Part One: Pick a zip code Pick a non-Florida zip code for a state with a federally-facilitated exchange. The list of states below has federally-facilitated exchanges. AL, AK, AZ,, GA, IN, KS, LA, ME, MS, MO, MT, NE, NJ, NC, ND, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WY

Part Two: Pick Your Four Plans Use the website: to find all available insurance product offerings for your selected zip code. To find products, input your zip code. Then hit “skip” until you see “Go to Full-Price Plans.” (Close the pop-up that says, “Help Comparing Plans.”) Next, pick at least four insurance product offerings, including one from each metal level (bronze, silver, gold, and platinum). If a platinum plan is not available for your zip code, you may substitute another metal. Some states do not have platinum plans.

Part Three: Complete the Template After you select four insurance products from any insurance company, fill out the Excel template titled “Health Insurance Exchange Assignment Template.” When inputting information in the template, make sure you specify the zip code you used (at the top) and the metal type for each plan.

Part Four: Identify Plan Recommendations Analyze each of the products and determine which product you will recommend to a low-income family to purchase. The family is seeking a fairly comprehensive insurance product at a good price and they are eligible for cost-sharing subsidies (reductions) (as described in this chapter’s lecture). Provide your rationale for your recommendation in your assignment submission.

Please add all the replies in a paragraph format

Using the information from your completed template, please type your answer to the questions below.

A. What zip code did you use?  

B. Did the state have platinum plans? (Yes or No) 

Using the information from your completed template, please type your answer to the questions below.

A. What was the name of the 
BRONZE plan you selected?

B. What was its monthly premium?

C. What was its deductible?

D. What was the out-of-pocket maximum?

Using the information from your completed template for the 
BRONZE plan, please type your answers to the questions below.

A. What is the copayment or coinsurance requirement for 

emergency room (ER) 
visits?

B. What is the copayment or coinsurance requirement for 

generic
 drugs?

C. What is the copayment or coinsurance requirement for 

primary care
 visits?

D. What is the copayment or coinsurance requirement for 

specialist
 visits?

E. What is the copayment or coinsurance requirement for 

specialty 
drugs?

F. What is the copayment or coinsurance requirement for 

outpatient mental/behavioral health?

Using the information from your completed template, please type your answer to the questions below.

A. What was the name of the 
SILVER plan you selected?

B. What was its monthly premium?

C. What was its deductible?

D. What was the out-of-pocket maximum?

Using the information from your completed template for the 
SILVER plan, please type your answers to the questions below.

What is the copayment or coinsurance requirement for 

emergency room (ER) 
visits?

A. What is the copayment or coinsurance requirement for 

generic
 drugs?

B. What is the copayment or coinsurance requirement for 

primary care
 visits?

C. What is the copayment or coinsurance requirement for 

specialist
 visits?

D. What is the copayment or coinsurance requirement for 

specialty 
drugs?

E. What is the copayment or coinsurance requirement for 

outpatient mental/behavioral health?

Using the information from your completed template, please type your answer to the questions below.

A. What was the name of the 
GOLD plan you selected?

B. What was its monthly premium?

C. What was its deductible?

D. What was the out-of-pocket maximum?

Using the information from your completed template for the 
GOLD plan, please type your answers to the questions below.

A. What is the copayment or coinsurance requirement for 

emergency room (ER) 
visits?

B. What is the copayment or coinsurance requirement for 

generic
 drugs?

C. What is the copayment or coinsurance requirement for 

primary care
 visits?

D. What is the copayment or coinsurance requirement for 

specialist
 visits?

E. What is the copayment or coinsurance requirement for 

specialty 
drugs?

F. What is the copayment or coinsurance requirement for 

outpatient mental/behavioral health?

Using the information from your completed template, please type your answer to the questions below.

A. What was the name of the 
PLATINUM (or substitute metal) plan you selected?

B. What was its monthly premium?

C. What was its deductible?

D. What was the out-of-pocket maximum?

Using the information from your completed template for the 
PLATINUM (or substitute metal) plan, please type your answers to the questions below.

A. What is the copayment or coinsurance requirement for 

emergency room (ER) 
visits?

B. What is the copayment or coinsurance requirement for 

generic
 drugs?

C. What is the copayment or coinsurance requirement for 

primary care
 visits?

D. What is the copayment or coinsurance requirement for 

specialist
 visits?

E. What is the copayment or coinsurance requirement for 

specialty 
drugs?

F. What is the copayment or coinsurance requirement for 

outpatient mental/behavioral health?

Which of the following metal types do you recommend for the scenario family?

Silver

Bronze

Gold

Platinum

In 

one sentence or phrase
, answer the question: why did you recommend the plan above for the scenario family?

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Order Now

Related Questions

Concurrency Control

  There are times when a database is accessed by many users across the enterprise. Transaction logs can help maintain concurrency in a multiuser platform. Describe at least two business scenarios where “commit” and “rollback” would be required. Describe how these functions would be essential for business continuity and concurrency

Healthcare Industry Solutions: Transforming Patient Care and Operational Efficiency

Healthcare industry solutions refer to a wide range of technologies, tools, and strategies designed to improve the way healthcare organizations operate and deliver patient care. These solutions combine software, digital platforms, data analytics, medical devices, and process innovations to address challenges in hospitals, clinics, pharmaceutical companies, insurance providers, and the

Comprehensive SharePoint and Teams Migration Solutions

   Modern businesses depend on collaboration and document platforms to stay productive, and moving these systems during a tenant migration is often complex. CloudBik’s Teams to Teams Migration offers an effective way to transfer Teams environments, including chats, channels, and files, without impacting end-users. At the same time, the SharePoint

Why Businesses Need Tenant to Tenant Migration

   The need for Tenant to Tenant Migration is growing as many companies go through mergers, acquisitions, or restructuring. Having data in two separate tenants can create confusion and extra work for IT teams. Moving everything into one tenant gives users a simple and unified experience. The OneDrive Migration Tool

Easy Data Transfer from Google to Office 365

  Many businesses choose Microsoft 365 over Google Workspace because it connects better with apps like Excel, Teams, and Outlook. But during migration, the main worry is losing data or breaking folder structures. The migrate from Google Workspace to Office 365 blog explains how to transfer emails, calendars, and files safely

HIS-D40-C

I have a question about Health Information System, who can help with questions?

HIS-B39-C

My questions are about Health IS. Who can help with these questions?

Advanced SQL and PL/SQL

  Extracting and interpreting data can be very valuable to an organization. Describe the importance of using sub queries in a database system. Provide at least two business case scenarios to support your response.

creating

Create a Visual Origin Story In Module 1 you are to complete the team-building exercise ” Visual Origin Story: Adventures in collaborative storytelling .” This exercise is from the book:  Murdoch-Kitt, K. M., & Emans, D. J. (2020). Intercultural collaboration by design drawing from differences, distances, and disciplines through visual

HIS-553-A

I have a question about Health Information Systems. Who is willing to help?

Case 4 – 90

I need help please Module 4 – Case Managing Complex IT Organizational Change and Capstone Paper Assignment Overview The Impact of Various Internal and External Organizational “Environments” on IT Management The ability to understand various elements within and outside your topic organization and the extent to which they affect information

SLP 4 – 90

PLEASE HELP Module 4 – SLP Managing Complex IT Organizational Change and Capstone Paper The continuing professional development of IT personnel is a key managerial responsibility. In this light, reflect on a subordinate and prepare a somewhat detailed and actionable professional development plan which would be intended for use in

Logical and Physical Design

  In order to ensure optimal database performance, the logical and physical design should consider the user requirements thoroughly. Suppose you have been hired to transform a conceptual model into a logical model for a sales database. Describe the specific steps that you must perform in order to appropriately construct

tERRORISM I

SEE ATTACHED. 2 Response to natural and man-made disasters have changed quite significantly since the implementation of the National Incident Management System (NIMS). Provide an example of a recent natural disaster or terrorist attack that has occurred in your region in the last 10 years. In what ways do you

Case 2 – 90

I need help please Module 2 – Case Architecting the IT Governance Plan Assignment Overview The Capstone course is a summary of your learning from all previous MSITM coursework. Thus, it has some suggested recent materials in IT governance along with writing/Capstone Case guides, or other materials directly provided by

SLP 2 – 90

Please Help Module 2 – SLP Architecting the IT Governance Plan As a consultant to, or manager of, an IT unit within your selected organization, you must be keenly aware of challenges facing your selected organization. This assignment asks you to identify, intellectually discuss, and broadly report on at least

Planning the DBLC

  The development of a database requires thorough methodology that ensures quality within the solution. Imagine you have been contracted to develop a finance database that will help an organization track monthly expenditures by departments. Discuss the various activities that you would have to achieve each phase, using the DBLC.