ACA rule limits out-of-pocket-expenses for employees in health plans

Advertisement

A final health care reform law regulation seeks to limit how much out-of-pocket expenses group health care plans can ask employees to cover, likely affecting most large employers’ plans.

The new rule is part of the federal Affordable Care Act (ACA).

The U.S. Department of Health and Human Services issued the mandate, which states maximum out-of-pocket expenses cannot exceed the out-of-pocket limit set for that year. It applies to high-deductible health care plans linked to health savings accounts (HSAs).

The maximum limit to a HSA for single-coverage employees is $6,250 and $12,500 for families. The Internal Revenue Service expects to announce 2014’s limits in May.

The new limits apply to non-grandfathered plans. Grandfathered plans will phase out, eventually not meeting requirements like to what degree employers may increase employee premium contributions.

The final rule only affects most large employer plans because few employers include copayments in setting employees’ out-of-pocket contribution limits, according to experts.

Leave a Comment

Follow IFAwebnews: 
Important links and updates throughout the day via Twitter Join IFAwebnews’ Insurance News group on LinkedIn.com Become a fan of IFAwebnewss Insurance News on Facebook Feeds for all the ourinsurance news or just the lines you need. Insurance news delivered to your inbox
© 2013 New Horizon Group, Inc. :: Insurance & Financial Advisor | IFAwebnews.com :: NS 326 queries. 0.814 seconds.