Out-of-Pocket Maximum

Definition

The most you have to pay for covered services in a plan year.

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Out-of-Pocket Max

After you spend this amount on deductibles, copayments, and coinsurance, your health plan pays 100% of the costs of covered benefits.

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This software is for simulation and planning purposes only. Outputs are estimates based on your inputs and do not constitute professional financial, legal, or tax advice. Always consult a qualified advisor before making business decisions.