IQVIA Benefits Handbook
DEDUCTIBLE
The deductible is the amount of covered charges you pay each year for basic and major services combined before the plan begins paying benefits. In both plans, you pay a $50 per person deductible each year for individual coverage and $150 deductible for family coverage. With family coverage, the maximum deductible is $150.
Meeting the Deductible
The annual deductible applies to basic and major services combined – you don't have to meet a separate deductible for each type of service you receive.
For example, if you satisfy the individual deductible after paying for basic treatment, like a filling, no deductible would be required if you need major treatment, such as a crown, later in the year.
If you have selected family coverage, a combination of covered family members must meet the family annual deductible. Once the family deductible is met, no one person has to meet the individual deductible for the remainder of a given year.