Medical deductible: For example, the insurance stipulates that the deductible is 1000, so you should take care of yourself within 1000 when you see a doctor, and some insurance companies will reimburse you for the excess.
Out-of-pocket maximum: sometimes the insurance company will not fully reimburse the expenses beyond the deductible, and there will be a reimbursement ratio, and it may have to pay part of it itself. The maximum out-of-pocket expenses refer to the upper limit of this part. For example, the medical expenses are 4000 yuan, the deductible is 1000, the insurance company reimburses 50%, and the maximum out-of-pocket payment is 2000 yuan. Originally, what I had to pay was 1000 (deductible)+1500 (50% × 3000 is not reimbursed) = 2500. But 2500 has exceeded the deductible limit (2000), so you only need to pay 2000, and the remaining 500 is still paid by the insurance company.
Doctor and specialist clinic: 0 USD after deductible.
Well, if you understand, you will know what is going on.