You have reached a certain limit that you must pay for the deductible and coinsurance, the insurance company covers 100% of any additional cost. This is called?
The correct answer is out of pocket limit
The out-of-pocket limit is the maximum or limit on the amount you must pay for eligible medical services in the planned year. When this limit is reached, the health insurance plan will pay 100% of all eligible medical expenses for the rest of the plan year. Some health insurance companies call this a deduction.
Basically, the deductible is the cost that the policyholder pays for medical expenses before the insurance plan begins to cover the cost, and the deductible is the policyholder's own expense, joint insurance, or The amount to pay for eligible medical expenses through deductions. , Before insurance covers everything.
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