AZ Blue Best Life Plus (HMO): Medical MOOP

MOOP stands for "maximum out-of-pocket" costs, which refers to the annual limit your loved one will pay out of pocket.

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Cost
Maximum Out-Of-Pocket: $2,500
Prior Authorization Required
No
Provider Referral or Order Required
No

How To Receive

Details on how to apply

For services you receive from AZ Blue in-network providers. If you reach the limit on out-of-pocket costs, you keep getting Medicare Part A and Part B-covered hospital and medical services and we will pay the full cost for the rest of the year.

You don’t need to “redeem” MOOP—it applies automatically. Once your payments for covered services reach the MOOP, AZ Blue will notify you, and any further covered expenses for the year will be fully covered.

Always save receipts and monitor your statements to ensure accuracy.

Please note: You must pay your monthly premiums and cost sharing for your Part D prescription drugs. Part D drugs are not counted toward the Maximum Out-ofPocket amount.

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MOOP

Maximum Out-of-Pocket

This is a limit set by the health plan on how much your loved one has to pay for covered healthcare services in a plan year. This includes deductibles, copayments, and coinsurance but excludes premiums. Once your loved one reaches their MOOP, the health plan covers 100% of the costs for covered benefits for the rest of the plan year. This cap is designed to protect individuals from excessive healthcare expenses, ensuring financial burden is limited regardless of the amount of care they need.

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