What is an OOP (out of pocket expense)?

The out-of-pocket (OOP) expense covers the balance left after your health fund has paid a portion of your procedure’s fee. This residual amount may include your chosen excess and any co-payments required. Because the exact costs depend on your health fund’s coverage and the specifics of your procedure, it is beneficial to speak with your provider to explore options for reducing these expenses, if available.

An out-of-pocket expense is the remaining cost you must pay after your health fund has contributed its share.