Feds solidify position on employees' max out-of-pocket healthcare costs

Federal regulators have reiterated the maximum out-of-pocket amount employers can require employees to pay before their healthcare coverage begins: $6,850 for single coverage and $13,700 for family coverage, Business Insurancreports. The rule, which goes into effect next year, also adds a new requirement for employers, which will have to cap the maximum out-of-pocket expense for any individual with family coverage at the aforementioned amount, regardless if the individual has single or family coverage. And while several business groups have expressed concerns regarding the "embedded" cost limit, Healthcare.gov's CEO Kevin Counihan wrote in a letter to employers that the embedded limit "prevents consumers from being penalized for purchasing family coverage rather than self-only coverage." Article

 

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