Sophie Bennett has personally paid a total of $5,000 in medical costs this year. At this point, there is a clause in her insurance contract that requires her insurance company to pay 100% of her medical costs for the remainder of the year. What clause is this likely to be?

Question

Quizplus · Accepted Answer

The stop-loss provision is a clause in health insurance policies that limits the amount a policyholder has to pay out-of-pocket for medical expenses. Once the policyholder reaches this limit, the insurance company covers 100% of the remaining costs for the year.

Sophie Bennett Has Personally Paid a Total of $5,000 in Medical