Skip to main content

Maximum Out-of-Pocket (MOOP)

Medicare Glossary

The most you have to pay for covered services in a plan year. After you reach this amount, your health plan pays 100% for covered benefits for the rest of the year. All Medicare Advantage plans have a maximum out-of-pocket limit.

This content is for educational purposes only and does not constitute a recommendation of any specific Medicare plan. Benefits, costs, and availability vary by plan and location. For complete information about your Medicare options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY: 1-877-486-2048, available 24 hours a day, 7 days a week.