Important Information About Your Benefits
Welcome to NALC Health Benefit Plan High Option! To learn more about your coverage under this Plan, refer to Section 4 of the Plan Brochure, Your Costs for Covered Services. You may also access additional resources from this link: https://nalchbp.org/pshb/high-option-plan/
Below is information concerning your Plan’s deductible and out-of-pocket maximum:
High Option Deductible and Out-of-Pocket Maximums
Annual Deductible: $350/person - $700/family
Annual PPO Out-of-Pocket Maximum: $3,500/person - $7,000/family
Annual PPO and Non-PPO Combined Out-of-Pocket Maximum: $5,000/person - $10,000/family
Prescription Out-of-Pocket Maximum: $3,100/person - $5,000/family
You may also visit this link to find in-network providers and facilities: https://nalchbp.org/pshb/partners-high-option/
Important Notice: When you get emergency care, use an out-of-network air ambulance provider, or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. “Surprise billing” is an unexpected balance bill as defined by a new federal law called the No Surprises Act. This can happen when you cannot control who is involved in your care-like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider. Please review this this disclosure for more information about your rights under this new law: Disclosure Notice Regarding Patient Protections Against Surprise Billing
