This is the most common area where we see most patients confused, and rightfully so. When you sign up for a plan, they throw two numbers at you, the Deductible and the Out-of-Pocket Maximum (Out of pocket)
The Deductible is the first number your insurance requires you to meet in order to begin your coverage for things not outlined in the basics of the plan. For example, a plan could cover 2 visits a year with a co-pay of $20. This would be regardless of if you met your deductible or not. But if you were to visit a specialist you would be left with the full price of the visit. This is to put it simply.
The Out-Of-Pocket-Maximum is the maximum amount your insurance will let you pay per year for medical and prescription expenses. After you meet this, your insurance will cover all in network expenses.
Some other things to check for are things like Family Deductibles and Out-Of-Pocket Maximums, and if they try to lock you into specific facilities like pharmacies or doctors.
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