Out-of-pocket Maximum (OOPM)

05/28/2019

Posted by: Altura Benefits in

The most you have to pay for covered services in a plan year. After you spend this amount on the combined total of deductibles, copayments, and coinsurance, your health plan pays 100% of the costs of covered benefits.

The out-of-pocket limit doesn’t include your monthly premiums. It also doesn’t include anything you spend on services your plan doesn’t cover.

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