what does the out of pocket maximum mean
An out-of-pocket maximum is the limit on how much you have to pay yourself for treatment or services in a given year or over the life of your policy coverage. Out-of-Pocket Maximum Basics An out-of-pocket maximum is intended to serve as a protection for you as the insured against devastating medical costs. If your policy has a plan year limit of $2,000 per individual and $5,000 per family, for example, the most you would pay out of your own pocket during the year is $2,000 for one covered person's claims, or $5,000 for your family.