 [ Symptoms ] what does a small brown dot on a tampon mean is having a period over with when that happens [ Disease ] all plans sold throught the marketplaces cap your total annual out of pocket spending at 6 350 per year once you hit that total dollar amount your insurer must pick up the remainder of your medical expenses if you qualify for a subsidy the amount you receive will be tied to the second lowest cost silver plan however you can apply it toward any of the plans if you buy a gold or platinum level insurance policy you will still receive your subsidy you will just be required to pay the difference in cost