Out-of-Pocket Maximum Clarification
Posted 02/06/13

The Office of Management and Enterprise Services (OMES) Employees Group Insurance Division (EGID) has clarified the member responsibility after the out-of-pocket maximum is reached. What does this mean to me? This means that members will still have to pay for some services once they have reached their out-of-pocket maximum. The following is the clarification:

The out-of-pocket maximum does not include charges for non-covered services, balance billing charges from non-Network providers, and copays.

If you have questions or need further information, please contact HP Administrative Services, LLC at 1-405-416-1800 or toll-free 1-800-782-5218. TDD users call 1-405-416-1525 or toll-free 1-800-941-2160.