The deductible is the amount of covered medical expenses you pay each calendar year (January 1 through December 31) before the plan’s benefits become effective. The HealthFund helps offset your deductible by paying covered medical expenses as they are incurred during the year, until the HealthFund is depleted. The amount of the deductible depends on the coverage tier you select at enrollment (e.g., Employee, Employee + Dependents, etc.) and whether care is provided in network or out of network. Generally, the deductible does not apply to prescription drug or preventive care expenses.
A dependent is a person who may be eligible for coverage under your health plan because of his or her relationship to you; usually a legal spouse or child. Check the plan’s Summary Plan Description (SPD) for specific eligibility criteria.