2 Matching Annotations
  1. Dec 2019
    1. Out-of-pocket Limit The most you could pay during a coverage period (usually one year) for your share of the costs of covered services. After you meet this limit the plan will usually pay 100% of the allowed amount. This limit helps you plan for health care costs. This limit never includes your premium, balance-billed charges or health care your plan doesn’t cover. Some plans don’t count all of your copayments, deductibles, coinsurance payments, out-of-network payments, or other expenses toward this limit. See a detailed example.
    2. How You and Your Insurer Share Costs - Example Jane’s Plan Deductible: $1,500 Coinsurance: 20% Out-of-Pocket Limit: $5,000