Common use of Anchor Plan Clause in Contracts

Anchor Plan. In Network Deductible* $1,000 ($2,000 family) In Network Out of Pocket Max** $2,000 ($4,000 family) Out of Network Deductible $2,000 ($4,000 family) Out of Network Out of Pocket Max $6,000 ($12,000 family) In-Network Coinsurance 10% Out of Network Coinsurance 30% *The family deductible is cumulative, meaning any combination of items covered by the deductible paid by family members counts toward the deductible until the full amount of the deductible has been met. **The in-network out-of-pocket maximum is a combined out-of-pocket maximum with the pharmacy out-of-pocket maximum.

Anchor Plan. In Network Deductible* $1,000 ($2,000 family) In Network Out of Pocket Max** Out of Network Deductible Out of Network Out of Pocket Max In-Network Coinsurance Out of Network Coinsurance $1,000 ($2,000 family) $2,000 ($4,000 family) Out of Network Deductible $2,000 ($4,000 family) Out of Network Out of Pocket Max $6,000 ($12,000 family) In-Network Coinsurance 10% Out of Network Coinsurance 30% *The family deductible is cumulative, meaning any combination of items covered by the deductible paid by family members counts toward the deductible until the full amount of the deductible has been met. **The in-network out-of-pocket maximum is a combined out-of-pocket maximum with the pharmacy out-of-pocket maximum.. The following in-network copays shall be in effect for the Anchor Plan:

Anchor Plan. In Network Deductible* $1,000 ($2,000 family) In Network Out of Pocket Max** $2,000 ($4,000 family) Out of Network Deductible $2,000 ($4,000 family) Out of Network Out of Pocket Max $6,000 ($12,000 family) In-Network Coinsurance 10% Out of Network Coinsurance 30% *The family deductible is cumulative, meaning any combination of items covered by the deductible paid by family members counts toward the deductible until the full amount of the deductible HSA has been met. **The in-network out-of-pocket maximum is a combined out-of-pocket maximum with the pharmacy out-of-pocket maximum.. The following in-network copays shall be in effect for the Anchor Plus Plan: