EFTA00316296Dataset 9
2016-12-1418p4,259w
…for on page 2 for other costs for services this plan covers. specific services? Is there an Network: $2,500 Indiv I $5,000 Family The out-of-pocket limit is the most you could pay during a coverage period out-of- . ocket limitNon-Network: $5,000 Indiv I $10,000 Family (usually one year) for your share of the cost of covered services. This limit helps on my expenses? you plan for health care expenses. What is not included…
https://www.justice.gov/epstein/files/DataSet%209/EFTA00316296.pdf