How the Maroon Plan Works

How It Works

Eligible or Allowable Charges

If you visit an out-of-network provider, your Coinsurance is subject to the eligible or allowable charges. That means you are responsible for any amount which the claims administrator determines is in excess of what in-network providers in your area generally charge for a specific service.

While this Summary Plan Description summarizes the major provisions of this plan, it does not provide you with every plan detail. The plan documents, which govern this plan, provide full details. If there are any discrepancies between this Summary Plan Description and the legal plan documents, the legal plan documents control.