What is Maximum Out of Pocket?
In a health insurance policy, you have to pay a share of the medical bills until the total expenses paid by you reaches a specific level. When the co-pays, deductible and coinsurance amounts paid out of your pocket reach this figure, the insurance company will take over paying 100% of covered services.
The out of pocket maximum (also known as OOP) is generally counted on an calender year basis, resetting at zero every January 1st.
There may also be one out of pocket maximum figure for in-network doctors and hospitals and a higher figure for providers who are out of network (OON)
|Watch:An Introduction to
the Basics of Medicare
|Need a Root Canal, Crowns, Dentures or Braces?
Find Dental Discounts.com
"Miracle Shake" treats root cause of Diabetes