Medical Billing Forum

Billing => Billing => : rdmoore2003 April 17, 2009, 04:14:11 PM

: out of pocket
: rdmoore2003 April 17, 2009, 04:14:11 PM

what would be the best way to explain to someone about out of pocket?

: Re: out of pocket
: Pay_My_Claims April 17, 2009, 05:34:18 PM

The maximum amount of money you have to pay during each benefit year.

: Re: out of pocket
: Michele April 18, 2009, 12:11:05 AM

Once the out of pocket is met, insurance carriers pay all covered expenses at 100% of the allowable amount.  So as Pay_My_Claims said, it's the maximum amount that a patient would be required to pay out of their pocket for medical expenses in a benefit year.

Michele