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Consumer Choice PPO Plan

Deductibles

What is a Deductible?

The deductible is the amount you must pay for covered medical services each year before the medical plan begins to pay benefits. The deductibles under the PPO Plans start over each Jan. 1.

 

Deductibles for Consumer Choice PPO Plan

The annual deductibles that apply to you depend on the coverage level you selected:

 

Employee

$2,700

Employee + Spouse/DP

$5,450

Employee + Child(ren)

$5,450

Family

$5,450

 

Coverage for an Individual

  • If you elect coverage for yourself, the individual deductible applies to you. You must pay for covered medical services for yourself.
  • The plan will not begin to pay for benefits until you meet the individual deductible.

Coverage for an Individual and One or More Dependents

  • If you elect coverage for yourself and one or more eligible dependents, a family deductible applies to all as a single-family unit.
  • Full family deductible must be met by at least one person before the plan begins to pay.

  • After the deductible has been met, the plan will pay for benefits for the rest of the family members.