OOPM definition
Examples of OOPM in a sentence
This means that the OOPM will be met for an individual with Family coverage who meets the individual OOPM prior to the Family meeting the Family OOPM within a Calendar Year.
For all covered drugs, after the deductible is met, the applicable copay amount shall apply until the applicable OOPM is met.
Coverage details, including premium share, deductibles, co-pays and coinsurance and out-of-pocket maximum (OOPM) amounts and effective dates are described in Appendix K-2.
Any amounts you pay for Covered Drugs at Non- Participating Pharmacies count towards the Participating Provider OOPM.
Coverage details, including premium share, deductibles, co-pays and coinsurance and out-of-pocket maximum (OOPM) amounts and effective dates are described in Appendix G-2.
Coinsurance 90% after deductible 70% after deductible Maximum Out-of-Pocket Deductible & Coinsurance Single $3,000 $6,000 Family $6,000 $12,000 The out of pocket maximum (OOPM) includes the deductible & if more than one person is covered under a family policy then the single OOPM stated above does not apply.
This means that any amounts you pay towards your Participating Provider OOPM also count towards your combined Participating and Non-Participating Provider OOPM.
This Plan has a Participating Provider OOPM as well as a combined Participating Provider and Non-Participating Provider OOPM.
Coverage details, including premium share, deductibles, co-pays and coinsurance and out-of-pocket maximum (OOPM) amounts and effective dates are described in Appendix E-2.
Coverage details, including premium share, deductibles, co-pays and coinsurance and out-of-pocket maximum (OOPM) amounts and effective dates are described in Appendix J-2.