Out-of-Pocket Maximum
The most you will pay for covered services in a plan year. After you reach this limit, your insurance pays 100% of covered costs for the rest of the year. In 2025, the ACA out-of-pocket maximum for individual plans is $9,200.
The most you will pay for covered services in a plan year. After you reach this limit, your insurance pays 100% of covered costs for the rest of the year. In 2025, the ACA out-of-pocket maximum for individual plans is $9,200.