Effective January 1, 2004 2008 the basic medical component deductible is $295 $349 per enrollee; $295 $349 per enrolled spouse or domestic partner; and $295 $349 per all dependent children. Covered expenses for mental health and/or substance abuse treatment services, physical medicine services, and non-network hospital services are excluded in determining the basic medical component deductible. Effective January 1, 2009, the deductible will increase by a percentage amount equal to the percentage increase in the medical care component of the CPI for Urban Wage Earners and Clerical Workers, all Cities (CPI-W) for the preceding period of July 1 - June 30.

b. Effective January 1, 2004 2008, the maximum annual co-insurance out-of-pocket expense under the basic medical component is $1,419 $1,676 per individual or family. Covered expenses for mental health and/or substance abuse treatment services, physical medicine services, and non-network hospital services are excluded in determining the maximum annual co-insurance limit. Effective January 1, 2009, the maximum annual co-insurance out-of-pocket expense under the basic medical component is $1,000 per enrollee; $1,000 per enrolled spouse or domestic partner; and $1,000 per all dependent children.

Effective January 1, 2004, and thereafter on each Each successive January 1, the deductible and maximum annual co-insurance out-of-pocket expense will increase by a percentage amount equal to the percentage increase in the medical care component of the CPI for Urban Wage Earners and Clerical Workers, all Cities (CPI-W) for the preceding period of July 1 - June 30.

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