All-Inclusive Out-of-Pocket Limit Increases Effective January 1, 2024 as Established Under the Affordable Care Act

The All-Inclusive Network Out-of-Pocket Limit sets the maximum amount you may be required to pay out of pocket per calendar year for network benefits under the Health Plan. The All-Inclusive Network Out-of-Pocket Limit includes any deductibles, co-insurance and co-payments (such as prescription drug co-payments, the $50 emergency room co-payment and the $10 co-payment for visits to the UCLA/MPTF health centers). The Health Plan indexes this limit annually in line with the amount established each year under the Affordable Care Act. 

Accordingly, beginning January 1, 2024, the Health Plan’s All-Inclusive Network Out-of-Pocket Limit will increase from $9,100 individual/$18,200 family to $9,450 individual/$18,900 family for all coverage plans. If you reach the limit, the Health Plan will pay 100% of covered network expenses.