out-of-pocket maximum

The out-of-pocket maximum is the most you will have to pay for covered healthcare services in a year. Once you reach this limit, your health insurance will pay 100% of eligible costs for the rest of the year. This limit includes your deductibles, copayments, and coinsurance, but not your monthly premiums. It helps protect you from high medical expenses and provides financial security, ensuring that you won’t have to pay more than a certain amount for necessary medical care within a given year.