210 Neb. Admin. Code, ch. 44, § 009
Current through September 17, 2024
Once the insured has incurred $1,500 in out-of-pocket expenses in a calendar year, over and above the deductible, benefits will be paid at 100% for the remainder of that calendar year, subject to the exceptions indicated elsewhere in this rule. The Preferred Provider Organization Plan may increase the maximum out-of-pocket expense to $3,000 for those services and supplies received from medical providers that have not contracted with the pool.
210 Neb. Admin. Code, ch. 44, § 009