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SHRM (May 5, 2017)

The U.S. Department of Health and Human Services (HHS), in one of the Obama administration's closing health care-related actions, has finalized the 2018 out-of-pocket (OOP) maximums for health care coverage. The 2018 limits will be $7,350 for self-only coverage (up from the 2017 cap of $7,150) and $14,700 for family/other than self-only coverage (up from $14,300).

The Affordable Care Act (ACA) imposes annual OOP maximums on the amounts that enrollees in nongrandfathered health plans—whether fully insured or self-funded, in the small- or large-group markets—can be required to pay for covered essential health benefits through cost-sharing.

On Dec. 22, 2016, HHS published in the Federal Register its annual Notice of Benefit and Payment Parameters for 2018.

Health Plan Out-of-Pocket Maximums

2018 2017 2016
Self-only coverage $7,350 $7,150 $6,850
Family coverage $14,700 $14,300 $13,700
Source: Department of Health and Human Services.

Read More HERE

Posted 10:58 AM

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