News & Updates
September 1, 2016
A new proposed 2018 Notice of Benefit and Payment Parameters from the U.S. Department of Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) addresses, among other things, the requirement under the Affordable Care Act that non-grandfathered group health plans limit annual out-of-pocket cost-sharing for coverage of essential health benefits under the plan. The law requires that these limits be updated annually.
The agencies updated the annual limits based on the premium adjustment percentage, generally for plans that begin on or after January 1, 2018. As a result, the proposed annual out-of-pocket expenses may not exceed $7,350 for self-only coverage or $14,700 for other than self-only coverage in 2018.
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