Individual out-of-network deductible

When you have a preferred provider organization (PPO) plan, covered services are paid at either the In-Network level or the Out-of-Network level depending upon how you seek services. See your insurance policy for details.

An Individual Out-of-Network Deductible is how much you must pay for out-of-network services for any one individual on your policy before your plan begins to pay out-of-network benefits for that individual.

  • Only out-of-network services covered by your policy apply to the out-of-network deductible.
  • Your deductible must be met each plan year.
  • The individual deductible does not apply if you are enrolled in a PriorityHSASM plan with a health davings account and you have more than one person on your policy.