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Out-of-Pocket Maximum

OOP Max
general
Updated 3/30/2026

Definition

The most you have to pay for covered services in a plan year before your health insurance plan begins to pay 100% of the allowed amount.

Standard Abbreviation

OOP Max

Category

general

Database Usage

-- Example column naming
CREATE TABLE claims (
  claim_id VARCHAR(50),
  oop max VARCHAR(100),  -- Out-of-Pocket Maximum
  ...
);

-- Example in SELECT
SELECT 
  claim_id,
  oop max as out-of-pocket_maximum
FROM claims;

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