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ACA Plan: Coverage and benefits

What is the Maximum Out-of-Pocket (MOOP) for my plan?

The Sidecar Health ACA Plan MOOP is the same as the deductible. Once you reach the deductible/MOOP, the plan pays 100% of the Benefit Amount at any provider or pharmacy. However, if you choose to see a provider that charges more than the Benefit Amount, you be billed for the additional charges. If you see a provider that charges less than the Benefit Amount, you keep the difference.

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