Your Health Care Coverage Is with a PPO

question 66

Multiple Choice

Your health care coverage is with a PPO.For approved,in-network providers your deductible is $500 and your coinsurance provision is 80%.For out-of-network providers,your deductible is $1,000 and your coinsurance provision is 70%.Assume there is no co-pay provision and you have no other claims this calendar year.You have decided to go to a specialist that is not in the network and the bill is $1,400.How much will you have to pay out-of-pocket?

• A)$1,400
• B)$1,120
• C)$420
• D)$1,320

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Definitions:

Cough Syrup

A medication used to alleviate symptoms associated with coughs and colds by suppressing cough reflexes or loosening mucus.

Skin Senses

The ability to perceive touch, temperature, pressure, and pain through the skin, one of the body's largest sensory organs.

Definable Receptors

Specific molecular structures on cell surfaces or within cells that binding substances like neurotransmitters, hormones, or drugs can precisely identify and interact with.

Pressure

The psychological or physical force exerted on an individual, which can influence their behavior or mental state.