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What does out-of-pocket maximum mean?

maximum mean out-of-pocket
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What does out-of-pocket maximum mean?

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When a person reaches the plan’s out-of-pocket maximum, UT SELECT then pays 100% of any eligible expenses for the rest of the plan year. The amounts include the deductible. Copays will continue to apply after the out-of-pocket maximum is met.

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Out-of-pocket maximum is normally the maximum financial exposure an insured member will have in a calendar year. It sometimes includes, or is in addition to, the calendar year deductible. In some cases, certain expenses may not count toward the out-of-pocket maximum (i.e., prescription drug co-pays). What does in-network and out-of-network mean? In-network doctors and hospitals provide negotiated or discounted rates to health insurance company members. Out-of-network providers are not contracted with the health insurance company, meaning members would not receive discounted rates and would be required to pay more for services. How would I know which individual and family health plan to pick? There are many options to choose from, and individuals will need to evaluate their budget and needs to select the right plan. Additionally, individuals will need to research which heath insurance companies their doctor is contracted with and what is best for their overall situation. You can start b

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The maximum amount for which you are responsible, in addition to applicable deductible, for eligible expenses incurred during the benefit period (generally, in one year).

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