Question: 5 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.
5 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)(6%) 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)(9%) If he incurs $8,000 in eligible expenses? (c)(10%) At what level of eligible expenses will major medical coverage begin to pay 100% of additional expenses.
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