Page 8 - Demo

https://aptia365.com/atlanticunionbank 8 Copyright 2024 Aptia Insurance Services Group, LLC. All rights reserved.Helpful Information about Deductibles and Out-Of-Pocket MaximumsWhen electing coverage for any family members in addition to yourself, deductibles and out-ofpocket maximums are applied differently for different plans.Plan Deductible Out-of-Pocket MaximumHSA Enhanced ($2,000/$4,000)HSA Basic ($4,000/$8,000)The entire Family Deductible must be met before benefits begin to pay out for any family memberThe entire Family Out-of-Pocket Maximum must be met before the plan pays in full for any family memberCo-Pay Plan ($1,000/$2,000)Once one family member meets the annual Individual Deductible, benefits begin to be paid for that individualOnce one family member meets the annual Individual Out-of-Pocket Maximum, the plan pays covered benefits in full for that individualHow the deductible worksEach medical plan has a deductible that you are responsible for meeting before the plan begins to pay for certain services. Deductibles are treated differently in the HSA plans vs. the Co-Pay plan.HSA Enhanced deductible = $2,000 individual/$4,000 familyHSA Basic deductible = $4,000 individual/$8,000 familyIf you only cover yourself:%u2022Once you hit the individual deductible benefits begin to be paid by Anthem according to the plan summary (see next page)If you are covering dependents: %u2022The entire FAMILY deductible must be met before benefits begin to be paid by Anthem for any family member%u2022Family members%u2019 out-of-pocket expenses are combined to meet the FAMILY deductibleCo-Pay Plan deductible = $1,000 individual/$2,000 familyIf you only cover yourself:%u2022Once you hit the individual deductible benefits begin to be paid by Anthem according to the plan summary (see next page)If you are covering dependents: %u2022Once any family member meets the annual INDIVIDUAL deductible benefits begin to be paid by Anthem for that individual%u2022Once the FAMILY deductible has been met benefits begin to be paid by Anthem for all covered family membersMedical Coverage