Maximum out-of-pocket amount

A definition of maximum out-of-pocket amount.

What you need to know

Your out-of-pocket limit is the most you'll have to pay for covered health care services in a year. Deductibles, copayments, and coinsurance go toward your out-of-pocket limit; monthly premiums do not count. The maximum out-of-pocket limit for 2019 is $7,900 for individual plans and $15,800 for family plans.

Policygenius’ editorial content is not written by an insurance agent. It’s intended for informational purposes and should not be considered legal or financial advice. Consult a professional to learn what financial products are right for you.


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