Explain comprehensive major medical policy

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Nick an dSheila Preston are married and have purchased a comprehensive major medical policy which covers them and their two sons, Wally and Brent. The policy has a $500 calendar year family deductible, a $2,500 stop-loss provision, and an 80% coinsurance clause. The following losses occur: On Jan 1, 2004 Sheila was treated fr an infection at a cost of $200, on July 1, 2004 Wally was treated for an injury suffered while waterskiing at a cost of $10,000, on December 5, 2004. Nick underwent eye surgery at a ost of $1500 and on Jan 5,05 Brent was treated for a broken leg at a cost of $2000. How much will the insurer pay for each of these losses?

Reference no: EM13215210

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