out-of-pocket maximum：超过deductible的费用，保险公司有时并不是全报销，会有一个报销的比例，自己可能还要掏一部分。out-of-pocket maximum指的是自己掏这一部分的上限。举个例子，医疗费用为4000，deductible是1000， 保险公司报销50%，out-of-pocket maximum是2000。本来自己要掏的部分是1000（deduct...
一般都是重大疾病花到大几十万的会选择maximum out-of-pocket expense这个条约 Deductible:在保单内定好一个deductible,就是在一年内,被保人只需要付deductible这么多的钱,剩余的由保险公司来付。通常deductible的金额会比较小,例如500或者1000左右,剩下的由保险公司来付,一般三五千的普通医疗费用,会选择pay deductible...
maximumdeductiblelimitsannualpocketgrandathered The Patient Protection and A ordable Care Act (PPACA) requires health plans to comply with cost-sharing limits with respect to certain employer-sponsored group health plan coverage. The cost-sharing limits include both an overall annual out-o -pocket (...
maximumdeductiblelimitsannualpocketgrandathered The Patient Protection and A ordable Care Act (PPACA) requires health plans to comply with cost-sharing limits with respect to certain employer-sponsored group health plan coverage. The cost-sharing limits include both an overall annual out-o -pocket (...
Additionally, the out-of-pocket maximum does not include costs that are not considered covered expenses. For example, if the insured pays $3,000 for an uninsured elective procedure, that sum will not be deducted from the maximum. This implies you might pay more than the out-of-pocket maximu...
Out-of-pocket maximum/limit. https://www.healthcare.gov/glossary/out-of-pocket-maximum-limit. Accessed February 14, 2018. 10. Centers for Medicare and Medicaid Services. Fact Sheet: Short-Term, Limited-Duration Insurance Proposed Rule. https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-...
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网络释义 1. 自付额 因为大多数的保险公司对飓风设定的自付额(out-of-pocket deductible),比较高,灾民的负担相对就高。如今改为「暴风」,灾… www.123nynews.com|基于3个网页
Each year the ACA sets new limits for out-of-pocket maximums and deductibles. Here are the limits for 2018 plans for individuals and families.
Out-of-Pocket Maximum vs. Deductible An out-of-pocket maximum is different from a plan'sdeductible. The money you pay for covered services goes toward your deductible first. The deductible is the amount you must pay before your insurance kicks in. Then, when you've met the deductible, you...