What is an annual out of pocket maximum (OOP limit)?
Once a subscriber has accumulated the annual out of pocket maximum amount on a Kaiser Permanente plan, they will not be required to pay any more copayments for doctor visits, hospital stays, surgery, etc. for the remainder of the calendar year. The expenses the subscriber will have (for the remainder of the calendar year) are the monthly premiums and the copayments for prescription drugs. Note: The annual out of pocket maximum does not apply to some specialty services such as drug rehabilitation and some preventative care services.
