What is the Medicare Advantage maximum out-of-pocket limit in 2026? | Patriot Plans
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HomeMedicareWhat is the Medicare Advantage maximum out-of-pocket limit in 2026?
Medicare Advantage

What is the Medicare Advantage maximum out-of-pocket limit in 2026?

The Medicare Advantage maximum out-of-pocket (MOOP) limit in 2026 is $9,350 for in-network services. Some plans have lower MOOP limits. After reaching the MOOP, the plan pays 100% of covered in-network services for the rest of the year. The MOOP does not apply to Part D drug costs.

Key Points

  • 2026 MOOP limit: $9,350 for in-network services
  • Some plans have lower MOOP limits
  • After MOOP: plan pays 100% of covered in-network services
  • MOOP does not apply to Part D drug costs
  • An independent agent can identify plans with the lowest MOOP limits in your area