|
Medical/Surgical |
You pay nothing after coinsurance expenses total $4000 per person or family for services of PPO providers/facilities. Your coinsurance expenses for inpatient services billed by a network hospital facility will never exceed $2000 per calendar year. |
You pay nothing after coinsurance expenses total $6000 per person or family for services of PPO and non-PPO providers/facilities, combined. Your coinsurance expenses for inpatient services billed by a network hospital facility will never exceed $2000 per calendar year. |
|
Mental health and
substance abuse benefits |
You pay nothing after coinsurance expenses total $4000 per person or family for Network services/facilities. Your coinsurance expenses for inpatient services billed by a network hospital facility will never exceed $2000 per calendar year. |
You pay nothing after coinsurance expenses total $8000 per person for non-network inpatient hospital treatment (to a maximum of 50 days). |
