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1. PPO Charges. A PPO uses a discount on charge arrangement. Marie incurred total charges by a hospital of $20,000, and the percentage paid to the provider is 70%. Marie's contract with the PPO specifies her co-pay as 20%. How much does Marie have to pay?

2. Stop-Loss Provision. Pete's health insurance policy specifies that he should pay 30% of expenses associated with a long-term illness, and he has a stop-loss provision of $35,000 in his policy. If Pete incurs expenses of $70,000, how much would he owe?

Financial Management, Finance

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