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 is $3,400 in-network or $5,100 for combined in- and out-of-network medical service each calendar year—this is the maximum out-of-network pocket amount you pay each year for Medicare-covered services.
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.
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