In-network - $1,000 per person per calendar year, except when you have met your visit or
procedure limits at the chiropractor, physical therapy, acupuncture, or other limitations
on pages 55-62 of the
2013 Active MPI Health Plan Summary Plan Description
(BENEFIT LIMITS SECTION).
Out-of-network – None, but in emergency cases, your maximum for the emergency room
facility and hospital facility Allowable Amounts is $1,000 per emergency.