WebMay 29, 2024 · An out-of-pocket maximum is a cap, or limit, on the amount of money you have to pay for covered health care services in a plan year. If you meet that limit, your health plan will pay 100% of all covered health care costs for the rest of the plan year. Some health insurance plans call WebOut-of-network provider —a health care professional, hospital, or pharmacy that is not part of a health plan's network of providers. You will generally pay more for services received from out-of-network providers. Out-of-pocket maximum —the most money you will pay during a year for coverage. It includes deductibles, copayments, and ...
Glossary of Common Insurance Terms, Words ... - TruStage Insurance
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Understanding key health insurance terms - HealthCare.gov
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