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A patient has a PPO insurance plan which is an 80/20 plan with a $2000
A patient has a PPO insurance plan which is an 80/20 plan with a $2000 deductible and a $5000 OOPM. Which is true about this plan if the patient sees an in-network provider for therapy services following an ankle sprain. Question 14 Answer a. The patient will be responsible for a 20% coinsurance based on the facility’s full charge after the deductible is met b. The patient will be responsible for the deductible and after that the plan will pay 100% of the bill c. The patient will be responsible for a 20% coinsurance based on the insurance allowable after the deductible is met d. The patient will be responsible for a $20 co-pay for each visit
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