Medical Billing Forum
Billing => Billing => : rdmoore2003 April 17, 2009, 04:14:11 PM
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what would be the best way to explain to someone about out of pocket?
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The maximum amount of money you have to pay during each benefit year.
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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