The rule is, you must secure a physical asset which is valued at or above the amount of capital being borrowed from the bank, such as the equity in your home. (moneyexpert.com)
In other words, the out - of - pocket limit is your worst case scenario, you would never be billed for anything above that amount. (simplyinsured.com)
If costs go above that amount, states would have to cut services or bear the cost. (politifact.com)