The U.S. Department of Health & Human Services (HHS) has announced the maximum annual cost-sharing limits for the 2023 benefit year for non-grandfathered group health plans. Those limits will be $9,100 for self-only coverage and $18,200 for other than self-only coverage.
Cost-sharing includes deductibles, coinsurance, copays, and any other required expenditure that is a qualified medical expense with respect to essential health benefits (EHBs) covered under the plan.
In addition, the proposed regulations would amend the ACA guaranteed availability regulations to explicitly prohibit health insurers, agents, brokers, and exchanges from discriminating against individuals in marketing practices and benefit designs based on sexual orientation and gender identity. If finalized, this rule would reinstate the pre-2020 nondiscrimination protections with respect to guaranteed availability.
Please reach out to your Hausmann Group team with any questions.