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Case Study #1

Data:

Steven has a major medical policy for $1 million. The policy has a $500 deductible, an 80 percent co-insurance provision, and a $5,000 stop-loss limit. He recently incurred $10,500 worth of covered medical expenses.

Calculations:

What amount will the insurer pay in this situation? What amount will Steven pay of these covered medical expenses?

 



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