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What’s MOOP?

MOOP stands for “Maximum out-of-pocket.” It’s the maximum you’ll have to pay for health care expenses with your Medicare Advantage Plan. Stay on top of your expenses and once you reach your MOOP, inform your health plan. The plan will contact THIPA and request a copay report. Then, they’ll issue a letter confirming you’ve met or gone over your MOOP. If you’ve gone over, THIPA will reprocess your recent health claims and an adjustment will be sent to your provider so they can reimburse you.

MOOP 2014