1. Christina Haley of Rockford, Illinois, age 61, recently suffered a severe stroke. She was in intensive care for 12 days and was hospitalized for 18 more days. After being discharged from the hospital, she spent 45 days in a nursing home for medically necessary nursing and rehabilitative care. Christina had a comprehensive health insurance plan through her employer. The policy had a $1000 deductible, a $50,000 episode limit, and a $250,000 aggregate limit with a 80/20 coinsurance clause with a $2000 coinsurance cap.

Christina’s policy covered the medically necessary services performed in a nursing home setting. Her total medical bill was $125,765.