Common use of Deductible for an Individual Plan Clause in Contracts

Deductible for an Individual Plan. $2,000 Not Applicable Deductible for a Family Plan: The Family plan deductible is met by adding the amount of covered healthcare expenses applied to the deductible for all family members; however, no one (1) member can contribute more than the amount shown above for "Deductible for an Individual Plan". $4,000 Not Applicable Maximum Out-of-Pocket Expense - The total combined amount of your deductible and copayments you must pay each plan year for certain covered healthcare services. See Glossary section for further details. The maximum out-of-pocket expense limit applies to both the network and limited non-network services combined. The deductible and copayments (including, but not limited to, office visits copayments and prescription drug copayments) apply to the maximum out-of-pocket expense. Maximum Out-of-Pocket Expense for an Individual Plan: $6,000 Not Applicable

Deductible for an Individual Plan. $2,000 5,000 Not Applicable Deductible for a Family Plan: The Family plan deductible is met by adding the amount of covered healthcare expenses applied to the deductible for all family members; however, no one (1) member can contribute more than the amount shown above for "Deductible for an Individual Plan". $4,000 10,000 Not Applicable Maximum Out-of-Pocket Expense - The total combined amount of your deductible and copayments you must pay each plan year for certain covered healthcare services. See Glossary section for further details. The maximum out-of-pocket expense limit applies to both the network and limited non-network services combined. The deductible and copayments (including, but not limited to, office visits copayments and prescription drug copayments) apply to the maximum out-of-pocket expense. Maximum Out-of-Pocket Expense for an Individual Plan: $6,000 7,150 Not Applicable

Deductible for an Individual Plan. $2,000 1,500 Not Applicable Deductible for a Family Plan: The Family plan deductible is met by adding the amount of covered healthcare expenses applied to the deductible for all family members; however, however no one (1) member can contribute more than the amount shown above for "Deductible for an Individual Plan". $4,000 3,000 Not Applicable Maximum Out-of-Pocket Expense - The total combined amount of your deductible and copayments you must pay each plan year for certain covered healthcare services. See Glossary section for further details. The maximum out-of-pocket expense limit applies to both the network and limited non-network services combined. The deductible and copayments (including, but not limited to, office visits copayments and prescription drug copayments) apply to the maximum out-of-pocket expense. Maximum Out-of-Pocket Expense for an Individual Plan: $6,000 8,000 Not Applicable

Deductible for an Individual Plan. $2,000 2,300 Not Applicable Deductible for a Family Plan: The Family plan deductible is met by adding the amount of covered healthcare expenses applied to the deductible for all family members; however, however no one (1) member can contribute more than the amount shown above for "Deductible for an Individual Plan". $4,000 4,600 Not Applicable Maximum Out-of-Pocket Expense - The total combined amount of your deductible and copayments you must pay each plan year for certain covered healthcare services. See Glossary section for further details. The maximum out-of-pocket expense limit applies to both the network and limited non-network services combined. The deductible and copayments (including, but not limited to, office visits copayments and prescription drug copayments) apply to the maximum out-of-pocket expense. Maximum Out-of-Pocket Expense for an Individual Plan: $6,000 3,900 Not Applicable

Deductible for an Individual Plan. $2,000 1,000 Not Applicable Deductible for a Family Plan: The Family plan deductible is met by adding the amount of covered healthcare expenses applied to the deductible for all family members; however, no one (1) member can contribute more than the amount shown above for "Deductible for an Individual Plan". $4,000 2,000 Not Applicable Maximum Out-of-Pocket Expense - The total combined amount of your deductible and copayments you must pay each plan year for certain covered healthcare services. See Glossary section for further details. The maximum out-of-pocket expense limit applies to both the network and limited non-network services combined. The deductible and copayments (including, but not limited to, office visits copayments and prescription drug copayments) apply to the maximum out-of-pocket expense. Maximum Out-of-Pocket Expense for an Individual Plan: $6,000 Not Applicable

Deductible for an Individual Plan. $2,000 Not Applicable Deductible for a Family Plan: The Family plan deductible is met by adding the amount of covered healthcare expenses applied to the deductible for all family members; however, however no one (1) member can contribute more than the amount shown above for "Deductible for an Individual Plan". $4,000 Not Applicable Maximum Out-of-Pocket Expense - The total combined amount of your deductible and copayments you must pay each plan year for certain covered healthcare services. See Glossary section for further details. The maximum out-of-pocket expense limit applies to both the accumulates separately for network and limited non-network services combinedservices. The deductible and copayments (including, but not limited to, office visits copayments and prescription drug copayments) apply to the maximum out-of-pocket expense. Maximum Out-of-Pocket Expense for an Individual Plan: $6,000 Not Applicable

Deductible for an Individual Plan. $2,000 1,000 Not Applicable Deductible for a Family Plan: The Family plan deductible is met by adding the amount of covered healthcare expenses applied to the deductible for all family members; however, no one (1) member can contribute more than the amount shown above for "Deductible for an Individual Plan". $4,000 2,000 Not Applicable Maximum Out-of-Pocket Expense - The total combined amount of your deductible and copayments you must pay each plan year for certain covered healthcare services. See Glossary section for further details. The maximum out-of-of- pocket expense limit applies to both the network and limited non-network services combined. The deductible and copayments (including, but not limited to, office visits copayments and prescription drug copaymentsdrug) apply to the maximum out-of-pocket expense. Maximum Out-of-Pocket Expense for an Individual Plan: $6,000 3,000 Not Applicable

Deductible for an Individual Plan. $2,000 1,000 Not Applicable Deductible for a Family Plan: The Family plan deductible is met by adding the amount of covered healthcare expenses applied to the deductible for all family members; however, however no one (1) member can contribute more than the amount shown above for "Deductible for an Individual Plan". $4,000 2,000 Not Applicable Maximum Out-of-Pocket Expense - The total combined amount of your deductible and copayments you must pay each plan year for certain covered healthcare services. See Glossary section for further details. The maximum out-of-pocket expense limit applies to both the accumulates separately for network and limited non-network services combinedservices. The deductible and copayments (including, but not limited to, office visits copayments and prescription drug copayments) apply to the maximum out-of-pocket expense. Maximum Out-of-Pocket Expense for an Individual Plan: $6,000 3,000 Not Applicable

Deductible for an Individual Plan. $2,000 4,850 Not Applicable Deductible for a Family Plan: The Family plan deductible is met by adding the amount of covered healthcare expenses applied to the deductible for all family members; however, however no one (1) member can contribute more than the amount shown above for "Deductible for an Individual Plan". $4,000 9,700 Not Applicable Maximum Out-of-Pocket Expense - The total combined amount of your deductible and copayments you must pay each plan year for certain covered healthcare services. See Glossary section for further details. The maximum out-of-pocket expense limit applies to for both the network and limited non-network services combined. The deductible and copayments (including, but not limited to, office visits copayments and prescription drug copayments) apply to the maximum out-of-pocket expense. Maximum Out-of-Pocket Expense for an Individual Plan: $6,000 7,225 Not Applicable

Deductible for an Individual Plan. $2,000 5,000 Not Applicable Deductible for a Family Plan: The Family plan deductible is met by adding the amount of covered healthcare expenses applied to the deductible for all family members; however, however no one (1) member can contribute more than the amount shown above for "Deductible for an Individual Plan". $4,000 10,000 Not Applicable Maximum Out-of-Pocket Expense - The total combined amount of your deductible and copayments you must pay each plan year for certain covered healthcare services. See Glossary section for further details. The maximum out-of-pocket expense limit applies to both the network and limited non-network services combined. The deductible and copayments (including, but not limited to, office visits copayments and prescription drug copayments) apply to the maximum out-of-pocket expense. Maximum Out-of-Pocket Expense for an Individual Plan: $6,000 7,500 Not Applicable

Deductible for an Individual Plan. $2,000 1,000 Not Applicable Deductible for a Family Plan: The Family plan deductible is met by adding the amount of covered healthcare expenses applied to the deductible for all family members; however, members ;however no one (1) member can contribute more than the amount shown above for "Deductible for an Individual Plan". $4,000 2,000 Not Applicable Maximum Out-of-Pocket Expense - The total combined amount of your deductible and copayments you must pay each plan year for certain covered healthcare services. See Glossary section for further details. The maximum out-of-of- pocket expense limit applies to both the network and limited non-network services combined. The deductible and copayments (including, but not limited to, office visits copayments and prescription drug copaymentsdrug) apply to the maximum out-of-pocket expense. Maximum Out-of-Pocket Expense for an Individual Plan: $6,000 3,000 Not Applicable

Deductible for an Individual Plan. $2,000 1,000 Not Applicable Deductible for a Family Plan: The Family plan deductible is met by adding the amount of covered healthcare expenses applied to the deductible for all family members; however, no one (1) member can contribute more than the amount shown above for "Deductible for an Individual Plan". $4,000 2,000 Not Applicable Maximum Out-of-Pocket Expense - The total combined amount of your deductible and copayments you must pay each plan year for certain covered healthcare services. See Glossary section for further details. The maximum out-of-pocket expense limit applies to both the network and limited non-network services combined. The deductible and copayments (including, but not limited to, office visits copayments and prescription drug copayments) apply to the maximum out-of-pocket expense. Maximum Out-of-Pocket Expense for an Individual Plan: $6,000 2,000 Not Applicable

Deductible for an Individual Plan. $2,000 750 Not Applicable Deductible for a Family Plan: The Family plan deductible is met by adding the amount of covered healthcare expenses applied to the deductible for all family members; however, however no one (1) member can contribute more than the amount shown above for "Deductible for an Individual Plan". $4,000 1,500 Not Applicable Maximum Out-of-Pocket Expense - The total combined amount of your deductible and copayments you must pay each plan year for certain covered healthcare services. See Glossary section for further details. The maximum out-of-pocket expense limit applies to both the network and limited non-network services combined. The deductible and copayments (including, but not limited to, office visits copayments and prescription drug copayments) apply to the maximum out-of-pocket expense. Maximum Out-of-Pocket Expense for an Individual Plan: $6,000 1,800 Not Applicable

Deductible for an Individual Plan. $2,000 1,500 Not Applicable Deductible for a Family Plan: The Family plan deductible is met by adding the amount of covered healthcare expenses applied to the deductible for all family members; however, no one (1) member can contribute more than the amount shown above for "Deductible for an Individual Plan". $4,000 3,000 Not Applicable Maximum Out-of-Pocket Expense - The total combined amount of your deductible and copayments you must pay each plan year for certain covered healthcare services. See Glossary section for further details. The maximum out-of-pocket expense limit applies to both the network and limited non-network services combined. The deductible and copayments (including, but not limited to, office visits copayments and prescription drug copaymentsdrug) apply to the maximum out-of-pocket expense. Maximum Out-of-Pocket Expense for an Individual Plan: $6,000 4,500 Not Applicable

Deductible for an Individual Plan. $2,000 1,000 Not Applicable Deductible for a Family Plan: The Family plan deductible is met by adding the amount of covered healthcare expenses applied to the deductible for all family members; however, no one (1) member can contribute more than the amount shown above for "Deductible for an Individual Plan". $4,000 2,000 Not Applicable Maximum Out-of-Pocket Expense - The total combined amount of your deductible and copayments you must pay each plan year for certain covered healthcare services. See Glossary section for further details. The maximum out-of-pocket expense limit applies to both the network and limited non-network services combined. The deductible and copayments (including, but not limited to, office visits copayments and prescription drug copaymentsdrug) apply to the maximum out-of-pocket expense. Maximum Out-of-Pocket Expense for an Individual Plan: $6,000 4,000 Not Applicable

Deductible for an Individual Plan. $2,000 Not Applicable Deductible for a Family Plan: The Family plan deductible is met by adding the amount of covered healthcare expenses applied to the deductible for all family members; however, however no one (1) member can contribute more than the amount shown above for "Deductible for an Individual Plan". $4,000 Not Applicable Maximum Out-of-Pocket Expense - The total combined amount of your deductible and copayments you must pay each plan year for certain covered healthcare services. See Glossary section for further details. The maximum out-of-pocket expense limit applies to both the network and limited non-network services combined. The deductible and copayments (including, but not limited to, office visits copayments and prescription drug copayments) apply to the maximum out-of-pocket expense. Maximum Out-of-Pocket Expense for an Individual Plan: $6,000 Not Applicable