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?
In: Other
Sometimes the deductible and out-of-pocket max are the same, meaning that once you hit that number you don’t pay anything. Other times, the deductible might mean the insurance pays like 80% and you pay 20% until you hit the out of pocket max. Whatever your out-of-pocket-max is the most you’ll pay… for example, I had spine fusion surgery a few years ago. I hit my $2000 deductible just on initial doctors visits and imaging, so entire $100k surgery was free to me.
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