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Frequent Contributor
hayat
Posts: 106
Registered: ‎22-03-2016

In health insurance, what is an out-of-pocket limit?

In health insurance, what is an out-of-pocket limit?

3 REPLIES 3
Frequent Contributor
reji
Posts: 114
Registered: ‎26-07-2016

Re: In health insurance, what is an out-of-pocket limit?

An out-of-pocket limit is a means to protect patients from the aggregate impact of cost-sharing - even if a patient needs substantial medical care during the plan year, they will not spend more than that amount; the insurer will cover the rest of their care costs.

Contributor
ayush.shukla
Posts: 56
Registered: ‎03-04-2017

Re: In health insurance, what is an out-of-pocket limit?

To put in an easy to understand answer, the out of pocket limit or "max out of pocket" is the absolute most money that you as the policy owner will have to spend in your policy calendar year. 

Contributor
Atharva Goud
Posts: 34
Registered: ‎12-07-2017

Re: In health insurance, what is an out-of-pocket limit?

Your expenses for medical care that aren't reimbursed by insurance. Out-of-pocket costs include deductibles, coinsurance, and copayments for covered services plus all costs for services that aren't covered.