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 reach the out of pocket maximum for the year, you will be responsible to pay applicable copays. The plan then pays 100% of the remaining eligible services.

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In-Network

Out-of-Network

Consumer Choice 1

Individual: $3,100

Family: $6,200

Individual: $6,200

Family: $12,400

Consumer Choice 2

Individual: $3,500

Family: $7,000

Individual: $7,000

Family: $14,000

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