HMAA: Option Plus One Medical and Drug

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Deductible

The fixed dollar amount you must pay each calendar year before benefits subject to the annual deductible become available. You cannot pay the annual deductible amount to us in advance. You must meet the deductible on a claim by claim basis.

CoverageAmount
Individual$100
Family$300
Non-Participating Hospital Confinement (limited to first confinement)$200

Out-of-Pocket Maximum

The maximum deductible, copayment and coinsurance amounts you pay in a calendar year. Once you meet the coinsurance maximum you are no longer responsible for deductible, copayment, or coinsurance amounts.

CoverageParticipating ProviderNon-Participating Provider
Individual Medical$600$1,100
Individual Drug$5,000 for prescription drugs and supplies
Family Medical$1,800$3,300
Family Drug$7,500 for prescription drugs and supplies

Please refer to your Description of Coverage (DOC) and Prescription Drug Plan Certificate (DRC) for additional information. In the case of a discrepancy between this website and the language contained within the DOC or DRC, the latter will take precedence.