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The Effect of an Out-Of-Pocket Limit in a Major Medical

Question 15

Multiple Choice

The effect of an out-of-pocket limit in a major medical insurance policy is to


A) limit the lifetime benefits payable under the policy.
B) put a cap on annual benefits that will be paid.
C) prevent the insured from receiving duplicate benefits if medical expenses are also covered under workers compensation insurance.
D) cover 100 percent of eligible medical expenses after an insured has incurred a specified amount of out-of-pocket expenses.

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