Question

Your health care coverage is with a PPO. For​ approved, inminusnetwork providers your deductible is​ $500 and your coinsurance provision is​ 80%. For outminusofminusnetwork ​providers, your deductible is​ $1,000 and your coinsurance provision is​ 70%. Assume there is no cominuspay 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 outminusofminus​pocket?

Answer 1

Answer = $1420

Step-by-step explanation:

Bill = $1400

Provision for Out-of-Network providers = 70% = $980

$1400 - $980 = $420

Out of network decuctible amount = $1000

$420 +$1000 = $ 1420.

Answer = $1420

But if you directly go to the doctor without opting for co insurance, you can save $20 and this out of network provision can be used in the future, if needed