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CMS and HHS Propose 2018 Annual Cost-Sharing Limits

Sep 08, 2016

HR360, Inc.

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 b​enefits under the plan. The law requires that these limits be updated annually. 

2018 Proposed Annual Cost-Sharing Limits 

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. 

Click ​h​ere to read the proposed Notice of Benefit and Payment Parameters for 2018 in its entirety. A ​fac​t sheet is also available to provide guidance for employers and plan administrators. 

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