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Carefirst BCBS

Hello everyone. I have a question for anyone that has had experience with Carefirst BCBS. I am currently enrolled in a PPO plan. The doctor that I am using is out of network. My in network and out of network deductibles ( oon deductible is $3200) will not be combined. If I don't meet my out of network by deductible by the time I am due to have surgery, will I be responsible for paying the surgeon the $3200 upfront? Or how exactly does it work? Any response is welcomed :)

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