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The Newfeld Hospital Has Contracted with the Azalea Health Plan

Question 25

Multiple Choice

The Newfeld Hospital has contracted with the Azalea Health Plan to provide inpatient services to Azalea's enrolled members. The contract calls for Azalea to provide specific stop-loss coverage to Newfeld once Newfeld's treatment costs reach $20,000 per case and for Newfeld to pay 20% of the next $50,000 of expenses for this case. After Newfeld's treatment costs on a case reach $70,000, Azalea reimburses the hospital for all subsequent treatment costs. One true statement about this specific stop-loss coverage is that


A) The carrier is Newfeld
B) The attachment point is $20,000
C) The shared-risk corridor is between $0 and $70,000
D) This coverage can also be activated when the total covered medical expenses generated by the hospitalizations of Azalea plan members reach a specified level

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