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How does the deductible and out-of-pocket maximum work with the Custom Network Plan?

The deductible is the total amount members are required to pay each year before the plan begins to pay a benefit. Under the Custom Network Plan, there is a $0 deductible (i.e, no deductible) for in-network services. For out-of-network services, each member must meet the individual deductible, or three family members may meet their deductible to reach the maximum family deductible, before a benefit will be paid for any covered member.

Separate deductibles exist for medical expenses and prescription drug expenses.

See the Custom Network Plan webpage for details about specific deductibles for a given calendar year.

Reviewed 2016-08-11