What is an out-of-pocket maximum?
Quick Answer
The out-of-pocket maximum (OOP max) is the most you'll pay for covered, in-network medical care in a plan year. Once hit, your insurance pays 100% of covered services until the plan year resets. ACA caps it at $9,200 single / $18,400 family for 2025.
Warren Team
Updated March 15, 2026
38
Warren Team
Updated March 15, 2026
38
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The information provided is for educational purposes only and should not be considered as personalized financial advice. Warren is a registered investment advisor. Past performance does not guarantee future results. Please consult with a qualified financial advisor before making investment decisions.
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