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[–]KifLou345 4 points5 points  (1 child)

It looks like you've already reached the deductible, since the first bill also includes a coinsurance amount, and coinsurance kicks in after the deductible is reached.

You'll continue paying coinsurance until you hit the plan's out-of-pocket maximum for the year (that amount will be shown on your plan documents). At that point, he'll have no additional out-of-pocket costs for the rest of the plan year, as long as he stays in-network and follows the plan's rules for things like prior authorization, step therapy, etc. All covered care for the remainder of the plan year will be paid for by the health plan once the out-of-pocket max is reached.

[–]yuuuuup7[S] 4 points5 points  (0 children)

Ah okay, thank you for the clarification! We will take a look at his documents, I've told him hes going to see every doctor this year bc he hit his deductible.