Category: Insurance | Difficulty: Intermediate | Priority: Nice-to-know | Subcategory: Plan Structure
The maximum dollar amount a patient is required to pay for covered services within a benefit period, after which the plan covers 100% of allowed costs; more common in medical than dental plans.
The most you would ever have to pay in a year before your insurance covers everything — if your plan has this feature.
[[annual maximum; deductible; copayment; cost sharing]]
Uncommon in traditional dental PPO plans but present in some dental HMOs and employer plans.
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