8
Health Plan
How The Plan Works
Each year, you must
meet a deductible,
which is the amount
you will pay for your
medical care before the
plan starts paying.
The Out-of-pocket
Maximum is the
maximum amount you
will have to
pay for covered medical
expenses in a plan year.
Then, the Health
Reimbursement Account
pays until its funds are
depleted.
. . . your Flexible
Spending Account
pays first (if you
have one).
Next, you pay 100%
of medical expenses
(except preventive
care) until . . .
you meet your
deductible. Once
you’ve met your
deductible, then . . .
you and the plan
split the cost of medical
expenses until . . .
you reach your
out-of-pocket
maximum.
After that, . . .
the plan pays
100% of qualified
medical expenses
for the rest
of the year.
When you receive medical care . . .
