In 2015, about 14% of all families had out-of-pocket (OOP) health care expenses exceeding $2,500. The share of families with OOP health care expenses varied with income. About 22% of high income families earning more than 400% of the federal poverty level had OOP expenses exceeding $2,500. About 13% of middle income families earning from 200% to 400% FPL had OOP expenses exceeding $2,500. About 10% of low income families (at 125% to less than 200% of FPL), and about 4% of poor families (income of less than 125% FPL) had OOP expenses exceeding $2 . . .