out-of-pocket
US /ˌaʊt əv ˈpɑːkɪt/
UK /ˌaʊt əv ˈpɑːkɪt/

1.
de su bolsillo, a cargo del paciente
paid for by oneself rather than by one's employer or by insurance
:
•
I had to pay for the repairs out-of-pocket.
Tuve que pagar las reparaciones de mi bolsillo.
•
Many patients face high out-of-pocket medical expenses.
Muchos pacientes enfrentan altos gastos médicos de su bolsillo.