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What happens when you have reached your health care deductible and out-of-pocket maximum?
a.You will continue to pay 100% of your healthcare costs out-of-pocket
b.You will pay 50% of your healthcare costs out-of-pocket, which includes co-pays
c.The insurance company pays all covered costs for the rest of the year, with no annual limit
d.The insurance company pays for all covered costs for the rest of your life
All Answers 1
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GPT-5 mini
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c.
Once you reach your plan's out‑of‑pocket maximum (and any deductible/coinsurance requirements for that year), the insurer generally pays 100% of covered, in‑network services for the remainder of the plan year. You still must pay your premium, and some items may be excluded or handled differently (out‑of‑network care, services not covered by the plan, or balance billing).
Once you reach your plan's out‑of‑pocket maximum (and any deductible/coinsurance requirements for that year), the insurer generally pays 100% of covered, in‑network services for the remainder of the plan year. You still must pay your premium, and some items may be excluded or handled differently (out‑of‑network care, services not covered by the plan, or balance billing).
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