Thomas Lee has basic coverage and supplementary major medical with a $100 deductible, 20 percent co-insurance, and
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Question:
Thomas Lee has basic coverage and supplementary major medical with a $100 deductible, 20 percent co-insurance, and a $1,500 stop loss on co-insurance payments.
(a) How much will the major medical coverage pay if Lee incurs $1,000 in expenses during the year that are not covered by basic cover age but that are eligible for major medical?
(b) If he incurs $8,000 in eligible expenses?
(c) At what level of eligible expenses will major medical coverage begin to pay 100% of additional expenses.
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