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What happens after the member uses all four office visits? What financial obligation does the member have on the 5th and subsequent visits?

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What happens after the member uses all four office visits? What financial obligation does the member have on the 5th and subsequent visits?

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The member will always be asked to make their copay at the point of service, but in addition, the plan deductible and coinsurance are applied to the visit and will be billed to the patient. The maximum out-of-pocket incurred by a family will not exceed out-of-pocket maximum limit for their plan.

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