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Out-Of-Pocket Maximum: A predetermined limited amount of money that an individual must pay out of their own pocket, before an insurance company will pay 100 percent for an individual’s health care expenses. 

 

 

 
 

Also See:

  
 

Terms to know

Generic / Brand Name Drugs
Deductible
Co-Payment
Co-Insurance
In/Out of Network
Explanation of Benefits
Exclusion
Outpatient
Pre-existing Condition

Plan Types

Provider / PCP
PPO / HMO / POS
Short Term Medical
High Deductible Plan
Health Savings Account
 

 

 

 

 

 

 

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