Students are responsible for no more than $3,000 of out-of-pocket expenses each plan year. If you have paid $3,000 in co-insurance and deductibles (excluding Pharmacy co-payments), you will no longer be required to pay co-insurance for the remainder of the plan year. The out-of-pocket maximum does not apply to amounts exceeding stated benefit limits (for example, Pharmacy or Physical Therapy limits) or to services not covered by the plan.

Rather than paying a deductible for every claim that is made, our deductible applies only to the initial claims submitted in a policy year. The total sum of the member's claims will amount to the deductible level that they have selected before the policy begins to reimburse claims for treatment received. Thereafter, HealthCare International will reimburse any further claims for the rest of the policy year, subject to the benefits of the policy that the member has selected. See similar questions...

Yes. The annual maximum out-of-pocket expense is calculated with a combination of deductible, coinsurance and copayment expenses. Only the prescription copayments are excluded from the calculation. See the PPO section of this document for more details regarding the Annual Maximum. You will always pay copayments for perscription drugs, office visits, inpatient hospital stays and durable medical equipment. Others may apply. See similar questions...

annual maximum is the maximum amount your dental plan will pay in benefits during the calendar year or plan year. Most companies select calendar year, which is January 1st through December 31st, however some select a plan year that corresponds to when their group's benefits renew (or open enrollment). A deductible is the dollar amount of covered dental expenses you must pay during the year before plan benefits are paid and normally applies to Basic and Major Services. See similar questions...

annual deductible is the amount of money that you need to pay for covered services each calendar year before Providence Health Plan will begin paying for coverage. The deductible will not apply to all covered services. For instance, if you receive services from a personal physician/provider, PHP will provide coverage for those services before your deductible is met. Likewise, any copayments you make for these services that are covered will not apply toward meeting your deductible. See similar questions...

A deductible is the dollar amount of covered dental expenses you must pay during the year before benefits are paid by The Guardian. An annual maximum is the maximum amount your dental plan will pay in benefits during the year. Both are generally based on the calendar year. Deductibles and annual maximums apply to each covered person. See similar questions...

Your deductible is a specified dollar amount that must be incurred by you before your plan begins paying benefits. Your out-of-pocket is a specified dollar amount that you must pay after your deductible has been met. The out-of-pocket limit is met on charges that you pay a portion and the insurance company pays a portion, in other words, you share the cost of the charge with the insurance company. See similar questions...

annual limit relates to the dollar amount of construction exposure given the experience and net worth of a builder. If a builder wishes to increase these limits a profile reassessment will be required. See similar questions...

Once a subscriber has accumulated the annual out of pocket maximum amount on a Kaiser Permanente plan, they will not be required to pay any more copayments for doctor visits, hospital stays, surgery, etc. for the remainder of the calendar year. The expenses the subscriber will have (for the remainder of the calendar year) are the monthly premiums and the copayments for prescription drugs. See similar questions...

We encourage you to consult with your tax advisor and/or employer about the tax treatment of AccessMD fees. See similar questions...

You can check the status of your deductible or out-of-pocket by using BlueAccess at http://www.bcbst.com/. See similar questions...

Typically, a deductible is the amount of money you must pay each year before your health insurance plan starts to pay for covered medical expenses. For example, with a $100,000 heart surgery bill, you would be responsible for paying the first $1,000. After this $1,000 deductible is met, the insurance company will pay a percentage of the bill in what is called the coinsurance. See similar questions...

For 2007, the maximum you may contribute to a Health Savings Account (HSA) is $2,850 for single coverage or $5,650 for family coverage. For 2008, the maximum you may contribute to a Health Savings Account (HSA) is $2900 for single coverage or $5800 for family coverage. Maximum HDHP deductibles are $5,000 for individuals and $10,000 for families. See similar questions...

There are two types of Equity-League 401(k) plans: one type offers salary deferral only, while the other offers both salary and employer contributions. See similar questions...

Incorporated companies and organizations are permitted to set their own reasonable maximum annual limits. Sole Proprietorships have an imposed maximum annual limit. Refer to our website’s page on Eligibility, or call the MediDirect® offices for details. See similar questions...

Annual family income limit of the applicant should not be above Rs.24, 000/-(Rupees Twenty four thousand only). See similar questions...