SOLVED910

Larry and Sheila Brown are spouses who work for different employers, each of which provides a group dental and prescription-drug plan. Larry has a plan with a $50 single deductible and a $100 family deductible. Sheila’s plan has a $50 single deductible and a $200 family deductible. Both plans have a co-insurance of 80%. Both plans coordinate benefits. Larry and Sheila have a child named Alice who is 10 years old. Alice recently met with an accident when her bicycle was struck by a slow-moving car. She had to be admitted to the hospital for treatment of her injuries. Once she was discharged from the hospital, the family incurred $300 in expenses for prescription drugs. The claim was submitted. This was the first claim for the year. Sheila was born on March 5 and Larry was born on September 8. Which of the following is true with respect to the claims? (Assume the entire claim is eligible under both plans.) A Since Sheila’s birthday falls earlier in the year, her plan is the primary carrier, and will reimburse $200. B Since Sheila’s birthday falls earlier in the year, her plan is the primary carrier, and will reimburse $80. C Since
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HEALTH SCIENCE
NURSING

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