Liam has purchased a fee-for-service health insurance plan from Leroux Health Insurance. Plan A includes a $248.00 monthly premium and an annual deductible of $5,500.00 (not including co-pays).

To calculate how much Liam will pay in health care-related fees in one year, we need to take into account his monthly premium, his annual deductible, and his copays for the physician visits.

1. **Monthly Premium Calculation:**
- Monthly Premium: $248.00
- Annual Premium = $248.00 * 12 = $2,976.00

2. **Annual Deductible:**
- Liam's annual deductible is $5,500.00. He must pay this amount out-of-pocket before the insurance starts to cover costs.

3. **Visits to Primary Care Physician:**
- He visits his primary care physician 3 times per year.
- Each visit costs $40.00.
- Total cost for primary care visits = 3 * $40.00 = $120.00

4. **Visits to Chiropractor:**
- He sees a chiropractic specialist every week, which is 52 times a year.
- Each visit costs $60.00.
- Total cost for chiropractic visits = 52 * $60.00 = $3,120.00

5. **Total Costs Before Insurance Payment:**
- Primary Care Physician: $120.00
- Chiropractic: $3,120.00
- Total Medical Fees = $120.00 + $3,120.00 = $3,240.00

However, since he only pays until he reaches his deductible, we need to factor that together:

6. **Total Fees Including Premiums:**
- Total healthcare costs (medical fees + premium) = $3,240.00 + $2,976.00 = $6,216.00

Since Liam has to meet his deductible of $5,500, we'll consider that amount independently as he won't be covered until reaching this limit.

**However, In this comic situation, he essentially pays ALL his medical fees up until his deductible, which covers most of these expenses.**

Thus:

- **Annual Deductible is NOT surpassed until the total is counted with the cost of his healthcare fees minus the premium plan.**

In case that number is exceeded, he will pay:

**Total cost: $6,216.00**

So, the correct answer is **(d) $6,216.00**.