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| The Catastrophic Stop-Loss benefit provides for reimbursement of out-of-pocket costs not paid by the basic health plan. After a $ 1,000 deductible, the Fund reimburses you at 80% for the next $ 1,250 of approved costs, them reimburses you at 100% until it has paid a maximum of $ 50,000 in a calendar year. Deductibles and co-insurance charges from the primary carrier are included in this benefit, as are charges for using non-participating providers. This unique benefit provides a safety net for our members and relieves them of a major financial burden should they experience a catastrophic illness. Please contact the Fund office if you have any questions regarding this benefit. |
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