Learning Center > Glossary-Terms > Out-of-Pocket Maximum

Out-of-Pocket Maximum

Out-of-pocket maximum is the most a covered person will be required to pay for medical services during a plan (calendar) year, not including noncovered items. This usually includes deductibles and coinsurance.

Note: These definitions are provided only to give you a general understanding of how these words are sometimes used by health insurance companies. Please refer to your coverage documents for a complete list of defined terms that apply to your specific coverage.
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