Tyrell has a new job and has to decide between two medical insurance plans. If he chooses the first plan, the employer pays for the full cost of insurance, but Tyrell will have a copayment of $20 for every visit to the doctor’s office and a copayment of $50 for each emergency room visit. If he chooses plan B, then he will need to pay $100 per month, but will have no copayment when he visits a doctor or the emergency room.

1 answer

To evaluate which insurance plan might be better for Tyrell, we need to consider his potential medical costs under both plans. Here’s how to analyze the two plans:

Plan A:

  • Cost of insurance: $0 (employer pays full cost)
  • Doctor's visit copayment: $20 per visit
  • Emergency room copayment: $50 per visit

Plan B:

  • Monthly cost: $100
  • Doctor's visit copayment: $0
  • Emergency room copayment: $0

Now let's break down the costs based on Tyrell's expected number of doctor visits and emergency room visits.

  1. Determine his number of visits:

    • Let's denote the number of doctor visits in a year as \( D \).
    • Let's denote the number of emergency room visits in a year as \( E \).
  2. Calculate yearly costs for each plan:

Plan A Costs:

  • Total cost for visits = \( 20D + 50E \)

Plan B Costs:

  • Total yearly insurance cost = \( 100 \times 12 = 1200 \)
  • Total cost for visits = \( 0 \) (no copayment)

So, the total cost for Plan B will simply be $1200.

  1. Set up an inequality to find the breakeven point: To find out when Plan A becomes more expensive than Plan B, we set up the following equation:

\[ 20D + 50E < 1200 \]

  1. Analyze the scenario: Here, we can plug in different values of \( D \) (doctor visits) and \( E \) (emergency visits) to see how many visits would make Plan A cheaper than Plan B.

For example:

  • If Tyrell has 10 doctor visits and 1 emergency room visit:

    • Plan A cost = \( 20(10) + 50(1) = 200 + 50 = 250 \)
    • Total cost = 250 (Plan A) < 1200 (Plan B), so Plan A is cheaper.
  • If Tyrell has 20 doctor visits and 2 emergency room visits:

    • Plan A cost = \( 20(20) + 50(2) = 400 + 100 = 500 \)
    • Total cost = 500 (Plan A) < 1200 (Plan B), still cheaper.
  • If Tyrell has 50 doctor visits and 10 emergency room visits:

    • Plan A cost = \( 20(50) + 50(10) = 1000 + 500 = 1500 \)
    • Total cost = 1500 (Plan A) > 1200 (Plan B), now Plan B is cheaper.
  1. Conclusion: From the inequality and examples, Tyrell should choose the plan based on his expected medical usage. If he anticipates high usage (many doctor and ER visits), Plan B may be more economical. If he expects minimal visits, Plan A could be favorable.

To give a personalized recommendation, Tyrell would need to estimate how many visits he expects per year.