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out of pocket

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rdmoore2003:
what would be the best way to explain to someone about out of pocket?

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

Michele:
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

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