Augustus Greatorex wrote:
If legal action is taken, I doubt Ms. Boonstra or AFP will be found guilty of anything. The problem arises that the Michigan BlueCross Gold plan does not have a "maximum out of pocket" of $5100, but a maximum deductible of $5100. In the old days deductible and out of pocket were interchangeable terms. However, under the new law Michigan BlueCross Gold plan only covers 90% of expenses above the deductible, the individual is responsible for the other 10%.
You're taking about the $2,500 deductible after which she only pays 10% but most have to pay 20% but it all goes toward the $5,100 out of pocket max which is all she owes besides the premiums.