![]() When this maximum limit is reached, the insurance typically then pays 100% of eligible expenses. Maximum Out of Pocket - The maximum amount the insured is responsible for paying for eligible health plan expenses. Medical emergencies or urgent care are exceptions when out of the managed care plan service area. ![]() Managed Care Plan - Insurance plan requiring patient to see doctors and hospitals that are contracted with the managed care insurance company. MAC - Medicare Administrative Contractor. ![]()
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