What does it mean to say 51% of exchange veterans don't plan to return for round two?

[kelly1mm]

4. ACA limit is $6600 for individual OOP max in 2015 ($13,200 for family). So, depending

on your deductible in your plan and your monthly premium, it can easily be $10,000 out of pocket expenses for a single person before even $1 of your health care cost is picked up by the insurance company.

The OOP maximum does not include the premiums either.

Here is a link:

https://www.healthcare.gov/glossary/out-of-pocket-maximum-limit/




Out-of-pocket maximum/limit



The most you pay during a policy period (usually one year) before your health insurance or plan starts to pay 100% for covered essential health benefits. This limit must include deductibles, coinsurance, copayments, or similar charges and any other expenditure required of an individual which is a qualified medical expense for the essential health benefits. This limit does not have to count premiums, balance billing amounts for non-network providers and other out-of-network cost-sharing, or spending for non-essential health benefits.

The maximum out-of-pocket cost limit for any individual Marketplace plan for 2015 can be no more than $6,600 for an individual plan and $13,200 for a family plan.