garantie en stop-loss
- Domaine
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- assurance assurance maladie
Note :
Terme retenu dans le glossaire de la LOMA.
Termes :
- garantie en stop-loss
- garantie des frais excédentaires n. f.
Traductions
-
anglais
Auteur : Sun Life du Canada compagnie d'assurance-vie,Définition
A health insurance policy provision which specifies that the insurer will pay 100 percent of the insured's eligible medical expenses after the insured has incurred a specified amount of out-of-pocket expenses - such as $1,000 - under the coinsurance feature.
Note :
E.g. : $2000 of eligible medical expenses. Coinsurance: 50/50. The insured pays the first $500, and the insurer pays $500 under the coinsurance feature, plus 100% of the excess, i.e. $1000 under the stop-loss provision.
Terme :
- stop-loss provision