Out-of-pocket maximum

Out-of-pocket maximum

A predetermined limited amount of money that an individual must pay out of their own savings, before an insurance company or (self-insured employer) will pay 100 percent for an individual's health care expenses.

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Part of Speech: noun
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Blossary:
Industry/Domain: Insurance
Category: Health insurance
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Related terms

out-of-pocket maximum

Insurance; Health insurance

A predetermined limited amount of money that an individual must pay out of their own savings, before an insurance company or (self-insured employer) will pay 100 percent for an ...

out of pocket maximum

Health care; General

The maximum amount that a person must pay under a plan or insurance contract.

annual out-of-pocket maximum

Health care; General

The most a plan member will pay per year for covered health expenses before the plan pays 100% of covered health expenses for the rest of that year.

out-of-pocket maximum

Health care; General

The most a plan member will pay per year for covered health expenses before the plan pays 100% of covered health expenses for the rest of that year.

out-of-pocket maximum

Health care; General

This is a limit on the costs a health plan member must pay for covered services. The limit can be yearly or a dollar amount.

out-of-pocket maximums

Health care; General

Dollar amounts set by MCOs that limit the amount a member has to pay out of his/her own pocket for particular healthcare services during a particular time period.

health insurance

Insurance; Health insurance

Insurance on health, thus one can be compensated after a car accident and get his/her amount of installments on health insurance with interest.

polycythemia

Medical; Health insurance

an increase in the total cell mass of the blood

pre-existing condition

Medical; Health insurance

any injury, disease, or disability that may have occurred at some time in the past and may predispose an individual to limited health in the future.

premium

Medical; Health insurance

the amount charged by a dental benefits organization for coverage of a level of benefits for a specified time

plastic surgery

Medical; Health insurance

Surgery to remodel, repair, or restore body parts, especially by the transfer of tissue.

speech therapy

Medical; Health insurance

peech Therapy focuses on receptive language, or the ability to understand words spoken to you, and expressive language, or the ability to use words to express yourself. It also ...

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