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Ive never seen an insurance plan categorize occupational and physical therapy, as this plan does, as an alternative treatment. Also, because of that categorization in Lopezs plan, the amount not covered by insurance that Lopez has to pay out-of-pocket does not even count toward the familys out-of-pocket maximum thats when the sum of deductibles, premiums and other charges reaches a threshold that triggers the insurer to pick up the remainder of the tab