LAC 32:V.403
A. Out-of-Pocket Maximum Per Benefit Period
| Includes All Eligible Deductibles Coinsurance Amounts and Prescription Drug Copayments: | ||
| Network | Non-Network | |
| Individual: | $5,000 | $10,000 |
| Family: | $10,000 | $20,000 |
AUTHORITY NOTE: Promulgated in accordance with R.S. 42:801(C) and 802(B)(1).
HISTORICAL NOTE: Promulgated by the Office of the Office of the Governor, Division of Administration, Office of Group Benefits, LR 41:361 (February 2015), effective March 1, 2015.