Question
What type of health plan is described: HMO, PPO, or Indemnity? B What is the annual deductible? C What is the annual premium? D What
What type of health plan is described: HMO, PPO, or Indemnity?
B What is the annual deductible?
C What is the annual premium?
D What percentage of preferred provider charges does the patient owe after meeting the deductible each year?
E If the insured insures a $6,000 in-network medical bill after the annual deductible has been paid how much will the health plan pay?
F A patient with a high-deductible consumer-driven health plan has met half of the $1,000 annual deductible before requiring surgery to repair a broken ankle while visiting a neighboring state. The out-of-network physician's bill is $4,500. The PPO that takes effect after the deductible has been met is an 80-20 in-network plan and a 60-40 out-of-network plan. How much does the patient owe? How much should the PPO be billed?
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