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What Is an Out-of-Pocket Maximum and How Does it Help Me?

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As a member of a Tufts Medicare Preferred HMO plan, there is a cap to the amount of money you’ll need to spend for medical services each calendar year.

What is the Out of Pocket Maximum and how will it help me?

What is the Out of Pocket Maximum and how will it help me?

The out of pocket maximum is the most you would have to pay in a year for medical services. This video explains how it works and how it helps you.
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This is called the out-of-pocket maximum. The out-of-pocket maximum gives you peace of mind because you can be sure you won’t pay more than that amount during the year.

Having an out-of-pocket maximum is one of the advantages to an HMO plan. If you relied only on Original Medicare for your health coverage, there is no limit on the amount you may need to spend in a year.

Check out this helpful video for details on how the out-of-pocket maximum works to help you control medical costs.