WebAn out-of-pocket maximum (OOP) is the most you’ll pay for medical services within your policy’s calendar year. Almost all insurance carriers require services to be in-network and covered by your plan to count toward your OOP. The goal of an OOP is to protect patients from high healthcare costs. For example, an 80/20 policy requires ... WebAlso known as traditional or original Medicare, fee-for-service (FFS) Medicare comprises Part A and Part B coverage. It’s administered by the government. Traditional Medicare includes a standard 20 percent coinsurance rate. MA. Also known as Medicare Part C, Medicare Advantage (MA) plans are administered by private companies.
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