The most you have to pay for covered services in a plan year. After you spend this amount on deductibles, copayments, and coinsurance for in-network care and services, your health plan pays 100% of the costs covered benefits. The out-of-pocket limit doesn’t include: Your monthly premiums Anything you spend for services your plan doesn’t cover Out-of-network care and services Costs above the allowed amount for a service that a provider may charge The out-of-pocket limit for Marketplace plans varies, but can’t go over a set amount each year. For the 2022 plan year: The out-of-pocket limit for a Marketplace plan can’t be more than $8,700 for an individual and $17,400… Read More
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