Question 6021 of 287 · Texas Life, Accident and Health Agent Exam

Coinsurance in a major medical policy means that

Exactly one answer is correct.

Athe insured must buy two policies to be covered
Bthe insurer pays all expenses after the deductible, at the discretion of the company, unless the applicant requests otherwise in writing
Cthe insured and the insurer share covered expenses in a stated percentage, such as 80/20
Dtwo insurers divide the claim equally

Show solution

Correct answer to question 6021

C: the insured and the insurer share covered expenses in a stated percentage, such as 80/20

Explanation

After the deductible, the insurer pays a percentage and the insured pays the rest, up to a stop-loss or out-of-pocket maximum.