If your PPO has an in-network coverage rate of 90% and an out-of-network coverage rate of 60%, this means that

Question

Quizplus · Accepted Answer

The in-network coverage rate of 90% means that your insurance provider will cover 90% of the costs when you visit an in-network provider, while the out-of-network coverage rate of 60% means that your insurance provider will cover 60% of the costs when you visit an out-of-network provider. This implies that you will be responsible for paying the remaining 40% of the costs associated with treatment by an out-of-network provider (in addition to any deductible or coinsurance). Therefore, the correct choice is B, which states that you will be responsible for paying an additional 30% of the costs associated with treatment by an out-of-network provider.

If Your PPO Has an In-Network Coverage Rate of 90