ACA—Out of Pocket Maximum Limits
Under the Affordable Care Act (“ACA”), limitations on cost sharing apply for plan or policy years that begin in or after 2017. This requirement applies to all non-grandfathered group health plans, including non-grandfathered self-funded and large group health plans. This requirement does not apply to transitional relief and retiree only plans.
The out-of-pocket maximum limits for ACA Health Plans are as follows:
Health Savings Accounts are subject to lower annual out of pocket maximum limits. The 2016 limits remain unchanged for 2017.
2016: $6,550 individual/$13,100 family
2017: $6,550 individual/$13,100 family