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Stop-loss
The dollar amount of claims filed for eligible expenses at which which point you've paid 100 percent of your out-of-pocket and the insurance begins to pay at 100 percent. Stop-loss is reached when an insured individual has paid the deductible and reached the out-of-pocket maximum amount of co-insurance.
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- Part of Speech: noun
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- Industry/Domain: Insurance
- Category: Health insurance
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