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November 2015

Understanding family and individual level deductible maximums

For family and individual contracts, when an individual’s deductible is not met, the individual will not owe a balance if the family contract deductible is met. When the family level deductible is met, the individual member’s deductible is also met, even if the individual’s "Remaining Deductible Required" shows a balance.

To help you better understand this billing scenario, check out the Deductible/Maximum screen shot below:
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If you have any questions, contact your provider consultant.

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