Each calendar year after you reach the out-of-pocket maximum per person listed in the Schedule of Benefits, the Plan generally pays 100% of your remaining covered expenses during that calendar year, except for the following expenses:
- Treatment for infertility,
- Treatment received at a non-PPO Hospital, a non-PPO Ambulatory Surgical Facility, or treatment received from a non-PPO Physician, and
The following expenses are not counted toward the out-of-pocket maximum:
- Treatment received at a non-PPO Hospital, a non-PPO Ambulatory Surgical Facility, or treatment performed by a non-PPO Physician, and
- Treatment received for infertility.