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Good News!

There is a limit to the amount of out-of-pocket costs you have to pay for your health care.

This is called the “annual out-of-pocket maximum.” It protects you if you or a family member has a major illness or accident. In 2016, by law, the out-of-pocket maximum can be no more than $6,850 for an individual or $13,700 for a family. After you pay the out-of-pocket maximum, the health insurance company pays for all of the health services that year. Some health plans have lower out-of-pocket maximums. 


 

Help is available!

Insurance is complicated. Dealing with insurance companies doesn’t always go smoothly. Don’t feel like it is your fault! 

 
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If you receive a bill you don’t understand, call member services and ask them to explain it. Take careful notes during any phone calls you have with your insurance company. 

 
 
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