- Coverage Change Highlights:
- Max Out of Pocket increased from $7,350 per person to $7,900
- PCP Copay increased from $30 to $35
- Specialist Copay increased from $60 to $70
- Generic Drug Copays increased from $7 to $10
- Biotech Injectable Outpatient used to be $125; now it is $250 (still $125 for home)
- Outpatient surgery was 30% up to $400 max; now it is 30% up to $400 max at surgical facility, but 30% to $700 max at hospital
Disclaimer: We recommend reviewing the entire Summary of Benefits and Coverage for your plan.