Autumn brings spectacular color across the Truckee Meadows
Autumn brings spectacular color across the Truckee Meadows

What if I have already met my maximum out-of-pocket limit on the Self-funded PPO Plan?
The out-of-pocket maximum is based on a calendar year; however, plan design changes are effective at the beginning of the fiscal year (July 1, 2011). In the case where an individual on the PPO Plan has met the existing $1,500 maximum (by June 30, 2011), they would be responsible for paying 20% of new charges up to another $1,500 before the insurance would pay 100% of covered charges.

Note: The out-of-pocket maximum does not include your deductible or co-payments.