Finance
How do health insurance deductibles, copays, and out-of-pocket maximums work?
Your deductible is what you pay before insurance starts covering costs. Once you hit your deductible, you pay a share (coinsurance) until you reach the out-of-pocket maximum, after which insurance pays 100%. For 2026 ACA marketplace plans, that cap is $10,600 for an individual and $21,200 for a family.