All-Inclusive Out-of-Pocket Limit Decreases Effective January 1, 2025

The All-Inclusive Network Out-of-Pocket Limit sets the maximum amount you pay out of pocket per calendar year for network benefits under the Health Plan, including deductibles, co-insurance and co-payments (including 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 evaluates this limit annually to ensure it remains appropriate for the current economic climate and is in line with the amount established each year under the Affordable Care Act.

Accordingly, beginning January 1, 2025, the Health Plan’s All-Inclusive Network Out-of-Pocket Limit will decrease from $9,450 individual/$18,900 family to $9,200 individual/$18,400 family for all coverage plans. If you reach the limit, the Health Plan will pay 100% of covered network expenses.