Summary Plan Description

Annual Deductible

The $200 annual deductible is the amount of covered medical expenses you must pay each calendar year before the plan pays benefits. Each individual covered under the plan has his or her own annual deductible. If you incur expenses in the last three months of a calendar year and those expenses are applied toward your annual deductible, those expenses will also apply toward your annual deductible for the next year. This is known as the deductible "carryover." When you and your dependents have paid a combined deductible expense of $400 in a calendar year, no further deductible is required for any family member during that calendar year.