VNS Health EasyCare: Medical MOOP
MOOP stands for "maximum out-of-pocket" costs, which refers to the annual limit the member will pay out of pocket.
How To Receive
Details on how to apply
You don’t need to “redeem” MOOP—it applies automatically. Once your payments for covered services reach the MOOP, VNS Health 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.
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MOOP
Maximum Out-of-Pocket
This is a limit set by the health plan on how much the member has to pay for covered healthcare services in a plan year. This includes deductibles, copayments, and coinsurance but excludes premiums. Once the member 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.
