What is an annual deductible?
The annual deductible is an amount you must pay before your Plan will pay any benefits. Your annual deductible does not apply to services with copayments, but amounts that you pay toward your annual deductible are credited to your out-of-pocket maximum. If you are enrolled in one of the NYU Point-of-Service Plans, and you go out of network, any amounts your provider charges that are above Reasonable & Customary rates are your responsibility and are not credited to your annual deductible. (See also, “Explanation of Reasonable & Customary”.
An “annual deductible” is the amount a covered person must pay for health services in a contract year before the company will begin paying benefits in that contract year. There is an annual deductible of $250 for network benefits and an annual deductible of $1000 for non-network benefits. Co-pays are in addition to the annual deductible. The contracted year is 8/16-8/15.
Related Questions
- If I receive services with a non PPO doctor, do the charges above the PPO allowance apply to my annual deductible or out-of-pocket maximum?
- Can you clarify the difference between the Annual Deductible vs. Out-of-Pocket Maximum in the POS Out-of-Network coverage?
- How to choose between annual deductible and per-incident deductible?
