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13. An individual with a long-term illness, has AmeriHealth Silver Advantage plan, and a health care policy that includes a 30 percent co-pay. The policy

13. An individual with a long-term illness, has AmeriHealth Silver Advantage plan, and a health care policy that includes a 30 percent co-pay. The policy has a stop loss provision of $18,000 USD. A current long-term illness has resulted in total expenses of $450,000.

13a) What is Stop-loss provision?

13b) How much would they have to pay out of pocket?

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