Out of Pocket Expenses in Medical Billing
Out of pocket expenses refer to the healthcare costs that patients must pay themselves, such as deductibles, co-pays, and co-insurance.
Out of Pocket Expenses in Medical Billing Explained
In medical billing, out of pocket expenses include all costs that are not covered by insurance. These expenses can be limited by a patient’s insurance plan, which typically has a maximum out-of-pocket limit, after which the insurance covers all costs.
For example, a patient may pay a $30 co-pay for a doctor’s visit as part of their out-of-pocket expenses.
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