Home/Glossary/Maximum Out-of-Pocket (MOOP)Glossary · PlansMaximum Out-of-Pocket (MOOP)An annual cap on what you pay for covered services in a Medicare Advantage plan. In-network MOOP is set by CMS; combined MOOP applies to PPOs.Related TermsPrior AuthorizationService AreaHMOPPOPFFSSpecial Needs Plan (SNP)← Back to glossary index