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Is there an annual maximum out-of-pocket limit in the PPO?

April 26, 2017annual limit maximum out-of-pocket ppo

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Is there an annual maximum out-of-pocket limit in the PPO?

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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.