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The annual out-of-pocket maximum expense per individual in Open Access In-Network is $1,500. Is the 10% for outpatient services or inpatient services included in the $1,500 maximum expense per year?

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The annual out-of-pocket maximum expense per individual in Open Access In-Network is $1,500. Is the 10% for outpatient services or inpatient services included in the $1,500 maximum expense per year?

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The $1,500 annual out-of-pocket maximum includes the 10% co-insurance you would pay for the medical services you describe. Additionally, any hospital or outpatient co-pays also apply towards the out-of-pocket maximum.

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