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Your health care coverage is with a PPO. For approved, in-network providers your deductible is $500 and your coinsurance provision is 80 percent. For out-of-network
Your health care coverage is with a PPO. For approved, in-network providers your deductible is $500 and your coinsurance provision is 80 percent. For out-of-network providers, your deductible is $1,000 and your coinsurance provision is 70 percent. 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?
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