Your catastrophic cap is the maximum amount you pay for covered services each calendar year.
Group AIf you or your sponsor’s initial enlistment or appointment occurred before January 1, 2018, you are in Group A.: $3,000 per family, per year
Group BIf you or your sponsor’s initial enlistment or appointment occurs on or after January 1, 2018, are in Group B.: $3,500 per family, per year
After you reach your catastrophic cap, you won’t have to pay anything more in most cases. But there are some exceptions.
The cap applies to all covered services:
The cap does not apply to:
When the sponsor retires, the full deductible and cost shares credited towards the previous family cap ($1,000) is credited to the new cap ($3,000) in the same calendar year.
Last Updated 5/31/2018