108 Medicare Terms Defined

Medicare Glossary

Plain-English definitions for every Medicare term — from ABN to ZIP enrollment. No jargon, no confusion.

Terms starting with "O" — 1 term

O

Out-of-Pocket Maximum

Costs & Coverage

The most you will have to pay for covered services in a plan year. After you reach this limit, your plan pays 100% of covered costs. Medicare Advantage plans must have an out-of-pocket maximum; Original Medicare does not have one.

Also known as: Out-of-pocket limit, MOOP

Related: Coinsurance Copay Deductible

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