Out-of-pocket limit (OOP)

{
  "id": "MLC-T-INS-002453",
  "term": "Out-of-pocket limit (OOP)",
  "field": "Insurance and risk management",
  "definition": "The maximum amount of money an insured individual will have to pay for covered healthcare services in a policy year before their health insurance plan begins to pay 100% of the allowed amount. This limit includes deductibles, co-payments, and co-insurance, but typically excludes premiums. Once this limit is reached, the insurer covers all further eligible medical expenses for the remainder of the year.",
  "abbreviation": "OOP",
  "url": "https://mlchart.com/terminology/insurance/out-of-pocket-limit-oop/"
}