The Out-of-Pocket Maximum is the most you will pay for covered healthcare services in a year. Once you reach this limit, your health insurance plan will pay 100% of the costs for covered services. This means you won’t have to pay any more deductibles, copayments, or coinsurance for the rest of the year.
This limit is important because it protects you from high medical expenses. For example, if you have a serious illness and need many treatments, the Out-of-Pocket Maximum ensures that you won’t face overwhelming costs. Always check your plan details to know your specific limit.