(1) In-Network-$3,000 per enrollment year for retirees and dependents. In-Network Care must be
provided or referred by a Primary Care Manager; or referred by a Health Care Finder; or is for an
emergency.
(2) Subject to maximum payable under this benefit of $7,500 per family per fiscal year.
(3) These insurance plans do not cover the Point of Service (POS) deductible.
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