Question: Adam needs his gall bladder removed and would like to have Dr . Patel perform the procedure. His health plan has set a reference price

Adam needs his gall bladder removed and would like to have Dr. Patel perform the procedure.
His health plan has set a reference price of $11,000 for gall bladder removal procedures.
Dr. Patel charges $12,000. What does this mean for Adam?
Adam will not need to pay anything if he has already paid his deductible
Adam will be responsible for paying for the $1,000 difference
Adam cannot have the service performed by Dr. Patel
Adam will receive $1,000 back in rebates
Adam needs his gall bladder removed and would like to have

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