An out-of-state vacationist with a broken ankle

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An out-of-state vacationist with a broken ankle has a high-deductible consumer-driven health plan. The patient has previously met half of the $1,000 annual deductible. The PPO is an 80-20 plan in net network as well as a 60-40 plan out-of-network. The out-of-network physician's bill is $4,500. How much does the patient owe? How much must the PPO pay?

Reference no: EM1378037

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