What is my out of pocket maximum?
This is the maximum amount your health insurer will require you to pay out-of-pocket towards the cost of your care. This can be an annual amount or a lifetime amount. It is the patient’s responsibility to know their annual and lifetime amounts. Patients must first meet their annual deductibles before a yearly out-of-pocket maximum would apply. Once the deductible is met, co-pays will count toward the annual out-of-pocket maximum. Once the annual out-of-pocket maximum is reached, patients should no longer be required to pay any costs out-of-pocket for medical services and, in most cases, insurance will then cover 100% of the services rendered.
