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Medicare out-of-pocket maximum planner

Medicare Advantage caps your in-network costs at the plan's MOOP. See your best-case and worst-case yearly spending using your plan's numbers.

With a Medicare Advantage plan, your yearly in-network costs are capped at the plan's maximum out-of-pocket (MOOP). This planner shows your best-case and worst-case yearly spending so you can budget with confidence. Enter your plan's numbers below.

Premiums and the MOOP come from your specific plan's documents. The MOOP typically applies to in-network Part A and Part B services; plan premiums and drug costs may be separate. Verify details in your plan's Summary of Benefits.

For educational estimates only. This tool gives a general estimate based on the numbers you enter. It is not a quote, an application, or a determination of benefits, eligibility, or price. Nothing is stored from what you type here — the estimate is calculated in your browser.

Figures that change every year — such as the standard Part B premium, the Part D national base beneficiary premium, and IRMAA income brackets — are entered by you so the math always reflects the current year. Always verify current amounts at Medicare.gov or 1‑800‑MEDICARE.

Maru Insurance is not connected with or endorsed by the U.S. government or the federal Medicare program. We do not offer every plan available in your area. Please contact Medicare.gov or 1‑800‑MEDICARE to get information on all of your options.

Vadim Marusin, licensed insurance advisor at Maru Insurance
Vadim Marusin — Maru Insurance
Licensed independent insurance agent (NPN 22261820) ยท WA & FL
Written and reviewed by Vadim Marusin, a licensed independent insurance agent. Maru Insurance is an independent agency (WA License WAOIC #1365574, FL License #G363233) representing multiple A-rated carriers across Washington and Florida.

Want a licensed agent to run the real numbers with you?

A licensed Maru Medicare advisor can review your situation and walk you through plan options available in your area — free, and with no obligation. Prefer to talk now? Call 360-255-8725 (WA) or 754-203-9632 (FL).

By submitting this form you agree that a licensed insurance agent from Maru Insurance may contact you by phone, text, and/or email at the number and address you provide — including with automated technology — about Medicare and other insurance options. Consent is not a condition of purchase. Message and data rates may apply, and you can opt out at any time. See our Privacy Policy and Terms. We never sell your information.