2: An employee becomes insured under a PPO plan provided by his employer. If the insured decides to go to a physician who is not a PPO provider, which of the following will happen?
A The PPO will pay the same benefits as if the insured had seen a PPO physician.
B The PPO will pay reduced benefits.
C The PPO will not pay any benefits at all.
D The insured will be required to pay a higher deductible.
The group health plan will not pay the full amount charged by the non-PPO doctor.
8: What is the maximum amount of coinsurance in New York's major medical plans?
A 25%
B 35%
C 40%
D 50%
In the state of New York, coinsurance cannot exceed 25% for major medical plans.