Common use of OUT-OF-POCKET MAXIMUM Clause in Contracts

OUT-OF-POCKET MAXIMUM. a specified dollar amount of Deductible, Coinsurance and Copayment expenses, if any, Incurred by a Member for Covered Services in a Benefit Period, after which the level of benefits payable by the Plan is increased to one hundred percent (100%) of the Plan Allowance such that the Member will not be liable for any additional Deductible, Coinsurance or Copayment expenses in that Benefit Period.

OUT-OF-POCKET MAXIMUM. a specified dollar amount of Deductible, Deductible and Coinsurance and Copayment expenses, if any, expenses Incurred by a Member for Covered Services in a Benefit Period, after which the level of benefits payable by the Plan is increased to one hundred percent (100%) of the Plan Allowance such that the Member will not be liable for any additional Deductible, Deductible or Coinsurance or Copayment expenses in that Benefit Period.