What is an out-of-pocket maximum?

 

The most you have to pay for covered services in a plan year. After you spend this amount on deductibles, copayments, and coinsurance, your health plan pays 100% of the costs of covered benefits.

This does not include your monthly premiums. It also doesn’t include anything you spend for services your plan doesn’t cover.

 

More about this topic

Blog posts

Coinsurance, Copay, Deductible – What’s the Difference?

Health Insurance Deductibles 101

Can’t Afford Obamacare – Help Paying for High Deductible Health Insurance

Is Medical Gap Insurance Worth it?