This is the amount you pay before your insurance begins picking up any of the costs for certain services during the year.

Log in to MyBlue after your effective date to see how much you've spent toward your deductible.

Your in-network and out-of-network deductible is $250 per member (or $750 per family).

This is the most you pay per plan year for covered health expenses before the plan pays 100 percent of covered expenses for the rest of the year.

Log in to MyBlue to see how much you've spent toward your out-of-pocket maximum.

Your out-of-pocket maximum for in-network and out-of-network services combined is $5,000 per member (or $10,000 per family).

A copayment is the cost you're required to pay for certain services or prescription drugs.

Your in-network copayments are:

Doctor's office visit: $30 per visit

Specialist visit: $40 per visit

Emergency room: $100 per visit (waived if admitted or for observation stay)

Prescription drugs: $10–40¹