Out-of-Pocket Maximum

Definition

Most you'll pay for covered health services in a year. After reaching this limit, insurance covers 100%.

Related Terms

Coinsurance

Your share of costs after meeting deductible, expressed as a percentage (e.g. 20% coinsurance means you pay 20%).

FAQs

What's a good out-of-pocket maximum?

ACA plans cap at $9,450 individual/$18,900 family for 2024.

Similar Terms

Gig Insurance

Insurance coverage for gig work activities, filling gaps in personal auto or liability policies.

Rideshare Insurance

Auto insurance endorsement or policy covering rideshare driving, filling gap between personal and platform insurance.

Liability Insurance

Insurance covering damages or injuries to others, important for service-based gig work.

Deductible

Amount you pay out-of-pocket before insurance coverage begins. Higher deductibles mean lower premiums but more cost when using insurance.

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Last updated: January 18, 2026

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