If Your PPO Has an In-Network Coverage Rate of 90

question 75

Multiple Choice

If your PPO has an in-network coverage rate of 90% and an out-of-network coverage rate of 60%, this means that

• A) your deductible will decrease by 30% if you visit an out-of-network specialist.
• B) you will be responsible for paying an additional 30% of the costs associated with treatment by an out-of-network provider.
• C) you are more likely to be denied coverage for out-of-network services.
• D) you can expect a 30% refund from your health insurance provider.

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Definitions:

Red Blood Cells

Cells in the blood responsible for carrying oxygen from the lungs to the rest of the body and returning carbon dioxide to the lungs for expulsion.

Hemoglobin

A protein in red blood cells that carries oxygen from the lungs to the body's tissues and returns carbon dioxide from the tissues back to the lungs.

Fetal Hemoglobin

A type of hemoglobin found in fetuses that has a higher affinity for oxygen than adult hemoglobin.

Oxygen-Dissociation Curve

A graphical representation showing the relationship between the oxygen saturation of hemoglobin and the partial pressure of oxygen, important for understanding oxygen transport in blood.