What is our protection against catastrophic cost (out-of-pocket maximum)?
A. The catastrophic limitation is the maximum out-of-pocket expenses that you and your family members will incur before the SAMBA Health Plan pays covered expenses at 100% for the balance of the calendar year. Your Out-of-Pocket expenses include your calendar year deductible, inpatient, outpatient hospital and office visit copayments and the coinsurance you pay for all covered expenses. The maximum amount differs for PPO and Non-PPO. Please refer to the Plan brochure for out-of-pocket maximum limits.
