Deductible

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 deductible is $250 for one member, $500 for two members, or $750 for a family.

Out-of-Pocket Maximum

The most you play per plan year for covered health expenses before the plan pay 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 in-network out-of-pocket maximum: $2,500 for an individual or $5,000 per family (these amounts include your deductible)

Copayment & Co-insurance

You pay co-insurance or a copayment based whether your provider is in- or out-of-network. You pay less out-of-pocket, and your coverage is higher when you see an in-network provider.