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8. Terms of payment for medical expense plans But I Paid My Premiums! Besides possibly paying the premiums for a medical insurance plan, the insured

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8. Terms of payment for medical expense plans But I Paid My Premiums! Besides possibly paying the premiums for a medical insurance plan, the insured is almost always responsible for making other, out-of-pocket payments. This practice helps keep overall costs down for both insureds and the insurance companies and ensures that insureds are infor about the costs of health care. med For each of the following scenarios, select which type of other cost or provision is illustrated. Skylar has had an illness and an accident during the year. Her combined out-of-packet expense for dents was $1,000. The insurance company will now start to pay some of her medical expenses. What does the $1,000 represent? O Participation (co-insurance) O Deductible O Coordination of benefits O Intemal limits Amy's been hospitalized for an illness. Her urance company has started paying 90% of covered medical expenses. What does the 10% of expenses Amy will have to pay out of her podket represent O Coordination of benefits O Deductible O Participation (co-insurance) O Intemal limits Maya has standard, personal medical insurance. After a recent accident, she visited the emergency room. One of the questions on the admission form asked if the accident occurred atwork. Q Deductible O Internal limits O Participation (co-insurance) O Coordination of benefits

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