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
Correct Answer:
Verified
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