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Deductible: The plan year dollar amount you pay before Copayments or Coinsurance are applied to covered services.
Out-of-Pocket Maximum: The plan year dollar maximum of your cost sharing including Deductibles, Copayments and Coinsurance, for covered services. After reaching this limit, the plan pays 100% of covered services for the rest of the plan year.
Coinsurance: The percentage of cost sharing you pay for specific types of covered services, after you meet your deductible.
Note: Plan eligibility depends on income level. Refer to your EOC and SBC for full benefit and coverage details. Preventive Services are provided at no cost.