How the MOOP Limit Works
One of the major differences between Original Medicare and Medicare Advantage is the MOOP limit. Medicare Advantage plans possess a maximum out-of-pocket limit, while Original Medicare does not. This implies if you have Original Medicare, there’s no limit to how much you can spend in a particular year. If you have a Medicare Advantage plan and also have a lot of bills, you won’t have to pay for covered services once you’ve hit your limit.
Here’s a summary of what is and isn’t seen as a part of your maximum out-of-pocket limit: