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: https://www.healthcare.gov/see-plans/#/ 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?
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