Health insurance plans may include a(n) __________ provision, which means that when the patient has reached that limit for the year, appropriate patient reimbursement to the provider is determined.

Question

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An out-of-pocket payment provision refers to the maximum amount a patient has to pay for covered services in a year. Once this limit is reached, the insurance plan covers 100% of the costs for covered benefits.

Health Insurance Plans May Include A(n) __________ Provision, Which Means