Page 13 - Demo

This is how deductibles work:%u2022 Claims that count toward an individual%u2019s deductible also count toward the family%u2019s deductible. Once an individual meets their deductible, they pay coinsurance and copays, which don%u2019t count toward the family deductible.%u2022 After any combination of family members meets the family deductible, the entire family only pays coinsurance and copays for medical care and prescriptions for the rest of the plan year.MOOPs work the same way:%u2022 An individual%u2019s deductible, copays and coinsurance all count toward both individual and family MOOPs. Once an individual meets their MOOP, their allowable expenses are covered at 100% for the rest of the year.%u2022 After any combination of family members meets the family%u2019s MOOP, the entire family%u2019s allowable medical care and prescriptions are covered at 100% for the rest of the year.But remember: Costs for out-of-network providers won%u2019t be covered at all.www.bcbstx.com/trsactivecare 13