*Out-of-network. Out-of-network/non-contracted providers are under no obligation to treat Health Alliance Northwest Medicare members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. | **This is the in-network yearly limit. This plan has a combined (both in-network and OON) yearly limit of $11,300.