out-of-pocket

US /ˌaʊt əv ˈpɑːkɪt/
UK /ˌaʊt əv ˈpɑːkɪt/
"out-of-pocket" picture
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.