MA-MOOP Limit-v5b
If you were to use this same scenario to an Original Medicare plan, there would be no limit to what you’d be paying out-of-pocket. Instead of stopping when you reach $6,700, you will have to pay for all services for the rest of the year. This would not have huge effects on a person with little or no health issues, but the MOOP can help manage your money, especially if you have a chronic health condition or if you need constant care.
Medicare Advantage plans can alter maximum out-of-pocket limits (MOOP) every year and the larger the MOOP, the more you will pay before your medical costs are covered by your plan. Medicare Advantage plans may also alter the MOOP limits for in-network and out-of-network Part A and Part B coverage.
The good news is that Medicare yearly changes the maximum MOOP limit for all Medicare Advantage plans – and your Medicare plan’s Annual Notice of Change letter (ANOC) will tell you about any new changes to your MOOP.
Now that you’ve got a better idea of how a MOOP works and why it’s important, take note of the maximum out-of-pocket limit listed for the Medicare Advantage plans you’re considering.