What are the coinsurance amounts, after the annual deductible is satisfied?
Plans I- IV require a 20% coinsurance payment for PPO providers and 40% for non-PPO providers. The annual out-of-pocket coinsurance maximum for PPO providers is $3,000 Plans I-III, and $5,000 for Plan IV. Plan V does not carry a PPO coinsurance requirement. The annual out-of-pocket coinsurance maximum for non-PPO providers is $10,000 for all plans.
Related Questions
- Are amounts incurred by an individual for medical care before a health plan’s deductible is satisfied included in computing the plan’s out-of-pocket expenses under section 223(c)(2)(A)?
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