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Regarding medical plans, what is the out-of-pocket maximum?
Suggested Answer: A
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30 comments · newest first
LE
Lettie
7 months ago
D seems outdated. Lifetime limits aren't common now.
TH
Thurman
7 months ago
C is too specific. It's not just for visits.
BE
Bev
7 months ago
A sounds right. It's about what I pay, not the plan.
LY
Lyndia
7 months ago
I feel confused about this. What does out-of-pocket mean?
LA
Laura
7 months ago
Nah, it's definitely not C or D.
LY
Lyda
8 months ago
Wait, are you sure it's not B? That sounds right too.
EA
Earleen
8 months ago
Totally agree, it's A for sure!
AL
Alishia
8 months ago
The out-of-pocket maximum? That's the amount I have to pay for my doctor's fancy coffee machine, right?
AU
Audry
9 months ago
Hmm, the out-of-pocket maximum is the maximum the plan will pay if the member is covered by another insurance plan. Option B is the correct answer.
RU
Rusty
9 months ago
The out-of-pocket maximum is the lifetime limit for benefits to any one employee. Option D is the answer.
SI
Sina
9 months ago
I'm pretty sure the out-of-pocket maximum is the limit the member will be required to pay at each doctor visit. Option C seems right to me.
FE
Fernanda
9 months ago
The out-of-pocket maximum is the most the member will be liable for in relation to co-insurance. Option A is the correct answer.
ED
Edelmira
9 months ago
I thought the out-of-pocket maximum was the lifetime limit, but now I'm confused because that sounds more like a different concept.
JA
Jannette
9 months ago
I feel like the out-of-pocket maximum is something that caps the total expenses, but I can't recall if it applies when you have multiple insurance plans.
LA
Lashaun
10 months ago
I remember practicing a question about maximum limits in medical plans, and it was definitely about the total amount a member pays, not just per visit.
NO
Noe
10 months ago
I've seen questions like this before, and I'm pretty confident the out-of-pocket maximum is the most the member will be liable for in terms of co-insurance. I'm selecting answer A.
ES
Estrella
10 months ago
Based on my understanding, the out-of-pocket maximum is the limit the member will have to pay, not the maximum the plan will pay. So I'm going to go with answer C.
CE
Ceola
10 months ago
I'm a little confused on this one. Is the out-of-pocket maximum the same as the lifetime limit for benefits? I'm not sure if that's the right interpretation.
TW
Twana
10 months ago
It's the most you pay out-of-pocket in a year!
KE
Keena
10 months ago
I think it's A. Co-insurance makes sense.
OC
Ocie
11 months ago
I think the out-of-pocket maximum is related to how much a member pays overall, but I'm not sure if it's just co-insurance or includes other costs too.
CH
Cherelle
11 months ago
I thought there was no lifetime limit anymore?
GL
Glory
11 months ago
B is tricky. What if I have two plans?
KI
Kiley
11 months ago
Okay, let me think this through. The out-of-pocket maximum is the most the member will be liable for in relation to co-insurance, so I'm going with answer A.
JA
James
11 months ago
Hmm, I think the out-of-pocket maximum is the most the member will have to pay for covered services, but I'm not totally sure which answer choice is correct.
AN
Antonette
6 months ago
I agree with A. It’s about what you pay overall.
KE
Kendra
6 months ago
D is definitely not it. Lifetime limits are different.
NO
Noel
6 months ago
C sounds right, but it seems too specific.
JU
Julian
6 months ago
I’m leaning towards B. It covers other insurance too.
PR
Princess
7 months ago
I think it's A. That makes the most sense.