Concept

Out-of-pocket Maximum

HE A LTH EDUC A TION H E A L T H 1 0 0 V E R S I O N 3 / Health Insurance: Key Terms

"Out-of-pocket maximum is 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. Although this is not an all-encompassing list of key terms for health insurance, these are some of the terms you are likely to encounter when shopping for health insurance. More in-depth information can be found at Healthcare.gov/glossary."

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