What is an out-of-pocket maximum for medical insurance?

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If an out-of-pocket maximum is $3,500, and you get a hospital bill for $10,000, do you only have to pay the $3,500, or the full $10k?

After you meet the deductible and out-of-pocket max, is care essentially “free” the rest of the year since you don’t have to pay out of pocket?

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Anonymous 0 Comments

Can’t read all prior posts, just wanted to mention 1. Be sure you know what the start and end date of your year is- some are not Jan-Dec. also, there is a Lifetime maximum as well. Keep an eye on it too. Lifetime max is a point at which you max out your coverage.

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