maximum out-of-pocket cost

maximum out-of-pocket cost

The most money a member of a health plan will pay for a particular health service, including co-payments, coinsurance, deductibles, etc.
References in periodicals archive ?
The maximum out-of-pocket cost for prescription drugs in 2015 is $4,700.
A: The maximum out-of-pocket cost for any marketplace plan for 2015 can be no more than $6,600 for an individual plan and $13,200 for a family plan.
Cost-sharing assistance lowers the out-of-pocket maximum for people who qualify Much like premium subsidies, the maximum out-of-pocket cost an individual or family pays is based on income.
High-deductible family plans require an annual deductible of at least $3,000, not exceeding $4,500, with a maximum out-of-pocket cost of $5,500; for individual coverage, an annual deductible of at least $1,500, not exceeding $2,250, with a maximum annual out-of-pocket cost of
Those workers faced a maximum out-of-pocket cost of $1,000 every year with the MSA.
In addition, the annual maximum out-of-pocket costs for covered expenses can't exceed $6,450 for a self-only plan or $12,900 for a family plan.
The Obama reforms of unlimited major medical coverage, increased prescription drug benefits and limitations on maximum out-of-pocket costs are to be added to Medicaid and Medicare, furthering fueling escalating costs of delivering medical care.
Monthly premiums will remain the same for employees, but starting next year the maximum out-of-pocket costs will drop $1,000 for individual coverage and $2,000 for family coverage.
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