What is an annual out of pocket maximum?
Once a subscriber has accumulated the annual out of pocket maximum amount,
they will not be required to pay any more copayments for doctor visits, hospital
stays, surgery, etc. for the remainder of the calendar year. The expenses the
subscriber will have (for the remainder of the calendar year) are the monthly
premiums and the copayments for prescription drugs.
Note: The annual out of pocket maximum does not apply to some specialty ervices such as drug rehabilitation and some preventative care services.
Note: The annual out of pocket maximum does not apply to some specialty ervices such as drug rehabilitation and some preventative care services.
