If an insured decided to reduce the coinsurance amount on her major medical insurance, what can the insured expect?

Prepare for the Oregon Life and Health Insurance Exam with flashcards and multiple choice questions, each with hints and explanations. Get set for success!

When an insured opts to reduce the coinsurance amount in their major medical insurance policy, they can expect to see a higher monthly premium. Coinsurance is the percentage of costs the insured is responsible for after the deductible has been met. By reducing the coinsurance, the insurance company will be taking on a larger share of the medical expenses, which ultimately elevates the risk for them. To compensate for this increased risk, the insurer typically adjusts the premium amount upward. This change reflects the fact that the insured will have more coverage and reduced out-of-pocket expenses for healthcare services, leading to an increase in the monthly cost of the insurance.

The other options do not align with what happens when coinsurance is reduced—stop-loss typically involves maximum payouts rather than affecting coinsurance, a higher deductible usually accompanies a plan with less coverage, and lifetime benefit payout wouldn't necessarily decrease just because coinsurance has changed.

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