does stop loss apply to out patient claims?

by Guest » Fri Oct 10, 2014 04:13 pm
Guest

I have an insurance who paid & now wants to recoup monies and leaving patient responsible for zero. Due to stop loss

Total Comments: 3

Posted: Sun Oct 12, 2014 02:51 pm Post Subject:

Makes no sense. If a stop loss for medical expenses has been reached, the insurer is responsible for all remaining covered expenses for the year.
Insufficient information to provide a better response.

Posted: Tue Oct 14, 2014 12:12 pm Post Subject:

Stop loss policy is one of the most crucial elements for a self insured plan. This policy is fairly straight forward, it is having around fifteen pages with relatively small amount of exclusions.

Posted: Tue Oct 14, 2014 04:12 pm Post Subject:

Stop loss policy

Does not have any applicability to the OP's question having to do with individual health insurance which is NOT a self-insured plan.

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