Annual Out-of-Pocket Maximum


Your annual out-of-pocket maximum depends on the plan in which you are enrolled. Your deductible and coinsurance amounts apply toward your out-of-pocket maximum.


Once you meet the out-of-pocket maximum, the plan will pay 100% of eligible expenses.

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In-Network

Out-of-Network

Consumer Choice 1 and

Consumer Choice 1 HSA Advance

Individual: $3,300

Family: $6,600

Individual: $6,600

Family: $13,200

Consumer Choice 2

Individual: $3,600

Family: $7,200

Individual: $7,200

Family: $14,400

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