Can you clarify the difference between the Annual Deductible vs. Out-of-Pocket Maximum in the POS Out-of-Network coverage?
The deductible is the amount of money the individual or family must pay for covered expenses before the plan starts to make payments on behalf of the patient. The Out of Pocket maximum is the maximum amount of money the individual or family is responsible for in terms of co-pay or co-insurance, for covered expenses. Once this amount is reached, the plan pays 100% of covered expenses.
