Northwest Carpenters Health and Security Plan

Out-of-pocket Maximum 

Each person covered under the plan has his or her own $2,850 out-of-pocket maximum. The following expenses accumulate towards the prescription out-of-pocket maximum:

  • Retail pharmacy copayments.
  • Mail order copayments.
  • Retail Refill Allowance (RRA) coinsurance.

When you and your dependents have paid a combined out-of-pocket maximum of $5,700 in a calendar year for the out-of-pocket expenses listed above, no further out-of-pocket payment for these expenses is required for any family member during that calendar year.

Last Updated: 04/25/2023