What is the Maximum Out-of-Pocket (MOOP) for my plan?
The Sidecar Health employer plan MOOP (Maximum-out-of-Pocket) is the same as the deductible. Once you reach the deductible/MOOP, the plan pays 100% of the Benefit Amount at any provider or pharmacy. However, if you choose to see a provider that charges more than the Benefit Amount, you will be billed for the additional charges. If you see a provider that charges less than the Benefit Amount, you keep the difference.