Ideas in this flowchart

• Out-of-pocket maximum in health insurance
• The most you have to pay for covered services during a plan year
• Covered services and benefits are subject to the plan’s payment rules
• Payments that count toward the maximum
• Deductibles
• Copayments
• Coinsurance
• After the maximum is reached during the plan year
• The health plan pays 100% of the costs of covered benefits
• These terms are not an all-encompassing list of health insurance terms
• They are terms likely to be encountered when shopping for health insurance
• More in-depth information is available at Healthcare.gov/glossary