Enter a -1 (negative one) in the appropritae field to designate an unlimited dollar amount or units.
Deductible
Day |
Week |
Month |
Year |
Episode |
Lifetime |
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Individual | ||||||
Family |
Maximum Out of Pocket
Day |
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Year |
Episode |
Lifetime |
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Individual | ||||||
Family |
Maximum Payable
Day |
Week |
Month |
Year |
Episode |
Lifetime |
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Individual | ||||||
Family |
Maximum Units
Day |
Week |
Month |
Year |
Episode |
Lifetime |
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Individual | ||||||
Family |