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Infertility Support and Discussion
Reply to "Kaiser - Infertility Services DO count toward OOP Max"
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[quote=Anonymous]It was always my understanding that because the OOP max for an individual is 2250, if that individual spends 2250, everything after that for that person will be covered 100% even though you may be on a family plan. But the other person still has to meet their OOP max before they get anything covered at 100%. As a family you would not pay more than 4500 for any care received. Even though husband is on the plan, you do not need him to meet his OOP max before you get your own services covered if you have already met yours. This is the way it was when I was on Aetna this year. Is this not correct for Kaiser? Otherwise, you would be penalized for having a family, which does not make sense.[/quote]
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