Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Maximum out of pocket Question!!...



Recommended Posts

I have a Maximum out of pocket of 1,000.00 not including the deductible. Does that mean if I where to get the band the most I would have to pay was 1,000.00 + deductible??

Share this post


Link to post
Share on other sites

PS. In my insurance handbook it says (Single out of Pocket) is 1,000.00 BUT (Family out of Pocket) means that all 3 family members must meet the single out of pocket. Anyone have a clue what this means?

Share this post


Link to post
Share on other sites

Yes, you are correct in that your max-out-of-pocket (MOOP) is your deductible plus $1000. That's in a calendar year, so it resets at the end of the year. All money you spend related to your medical care as a patient go toward your MOOP.

The family MOOP is just another cap. If three people in the family meet their individual MOOPS in a calendar year, the whole family will be considered to have met it and there will be no more out-of-pocket expenses for anyone in the family, even if the family has more than 3 people.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×