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 clause is likely to be a stop-loss provision, which provides that once the insured has paid a certain amount in out-of-pocket medical expenses, the insurance company will pay 100% of further covered expenses for the remainder of the year.

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