What is an annual coinsurance out-of-pocket maximum?
The annual coinsurance out-of-pocket maximum is a limit on the amount you pay out of your pocket for covered services in a calendar year. It is lower for services received in the Anthem Blue Cross provider network than for services received outside of the network. If your share of covered charges exceeds the plan’s out-of-pocket maximum, the plan will pay 100% of your covered charges for the remainder of the calendar year, except for your required copays. The deductible does not apply toward your annual out-of-pocket maximum.
