Comprehensive Out-of-pocket Maximum |
||
|---|---|---|
| In-network | Out-of-network | |
|
Plan I (Active Plan) |
$8,550/person; |
No maximum |
|
Plan II* |
$8,550/person; |
No maximum |
The comprehensive out-of-pocket maximum is the maximum amount you could pay in any calendar year — including all Copays, Coinsurance and Deductibles — for Hospital, medical, prescription drugs, mental health and substance abuse services from In-network Providers under the Plan. There is no comprehensive out-of-pocket maximum for out-of-network care. The Plan's comprehensive out-of-pocket maximum is set in accordance with the Affordable Care Act (ACA) and updated annually.
*Note: Plan II runs out September 30, 2021