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out-of-pocket limit (OOP)

Under a health insurance plan, the out-of-pocket (OOP) limit is the maximum amount the covered individual will have to pay for covered health services during the policy year.

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out-of-pocket limit (OOP)

Under a health insurance plan, the out-of-pocket (OOP) limit is the maximum amount the covered individual will have to pay for covered health services during the policy year.

Additional Information


Generally included within the OOP are the plan deductible, coinsurance, and co-payments.

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