210 Neb. Admin. Code, ch. 44, § 009 - Maximum out-of-pocket expense
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.
Notes
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