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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
6 months ago
D seems outdated. Lifetime limits aren't common now.
TH
Thurman
6 months ago
C is too specific. It's not just for visits.
BE
Bev
6 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
7 months ago
Wait, are you sure it's not B? That sounds right too.
EA
Earleen
7 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
8 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
8 months ago
The out-of-pocket maximum is the lifetime limit for benefits to any one employee. Option D is the answer.
SI
Sina
8 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
8 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
9 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
9 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
9 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
9 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
10 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
10 months ago
I thought there was no lifetime limit anymore?
GL
Glory
10 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
5 months ago
I agree with A. It’s about what you pay overall.
KE
Kendra
5 months ago
D is definitely not it. Lifetime limits are different.
NO
Noel
5 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
6 months ago
I think it's A. That makes the most sense.