Classic Choice: Overview

  In-Network Out-of-Network

CALENDAR YEAR DEDUCTIBLE (CYD)
Unless otherwise indicated, all benefits are subject to CYD.

Option 1: $3,000

Option 2: $6,000

OUT-OF-POCKET MAXIMUM (OOP)
Once the OOP maximum is met, benefits are provided at 100% for a member for the remainder of the calendar year. This applies to in-network provider services only. Copayments do not apply to OOP and must still be paid after OOP is met.

 Option 1
$10,000 

Option 2
$20,000 		 Unlimited

LIFETIME BENEFIT MAXIMUM

 Unlimited