How does my maximum out-of-pocket work?

Your health plan limits how much you’ll pay out of pocket for covered, in-network medical and prescription services each year. This limit includes your deductible, co-pays, and co-insurance for those services. Once you reach the maximum amount, the plan pays 100% of eligible in-network costs for the rest of the year, including co-pays. However, expenses for out-of-network care and certain penalties, like those from the outpatient prescription drug program, do not count toward this limit and will remain your responsibility.

Note: Secure Health 3000 only offers ACA-mandated preventive medications.

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