Are there limits on co-payments and deductibles?
There are no limits on co-payments. The regulation permits institutions to impose reasonable co-payments and requires that the QSHIP plan to specify the co-pay amount for in network and out-of network office, clinic and hospital visits. However, there is a limit on deductibles. If an institution chooses to impose reasonable deductible, the annual deductible for QSHIP plan may not exceed $250.
