Archives
2016/2017 Health Savings Plan In-Network Maximum Annual Out-of-Pocket per Family
In-Network: $11,000 (includes prescription drugs) Out-of-Network: $20,000 (includes prescription drugs)
2016/2017 Premier Plan (Cigna or UHC) In-Network Maximum Annual Out-of-Pocket Per Family
In-Network: $5,000 Out-of-Network: $10,000
2016/2017 Standard Plan (Cigna or UHC) In-Network Maximum Annual Out-of-Pocket Per Family
In-Network: $7,500 Out-of-Network: $15,000
Kaiser Permanente Southern California In-Network Only Family OOP Max
$3,000
Kaiser Permanente Northern California In-Network Only Family OOP Max
$6,000
Kaiser Permanente Hawaii In-Network Only Family OOP Max
$7,500
2016/2017 HMSA In-Network Family OOP Max
In-Network: $7,500 Prescription coverage: $4,200 Out-of-Network: $7,500 Prescription coverage: $4,200
Non-Participating Retail Pharmacy Family Annual Out-of-Pocket Maximum
$4,200 (combined with Mail Service and Participating Retail Pharmacy)
Mail Service Family Annual Out-of-Pocket Maximum
$4,200 (combined with Participating and Non-Participating Retail Pharmacy)
Participating Retail Pharmacy Family Annual Out-of-Pocket Maximum
$4,200 (combined with Mail Service and Non-Participating Retail Pharmacy)
2016/2017 Cigna Global Health Medical Plan In-Network OOP Max Family
In-Network: $10,000 Out-of-network: $10,000