Compliance News Week Ending October 11, 2024

Compliance News Week Ending October 11, 2024 

In this Article: 

CMS Announces 2026 Maximum Out-of-Pocket Limits Under ACA Rules

CMS provided guidance this week that sets forth the 2026 maximum out-of-pocket (OOP) limits that may apply for group health plans under ACA rules. For 2026, the maximum OOP for self-only coverage is $10,150 and the maximum OOP for family coverage is $20,300. This is an increase over the OOP maximums in place for 2025, which are $9,200 for self-only coverage and $18,400 for family coverage.

Resource

CMS Guidance

^{While every effort has been taken in compiling this information to ensure that its contents are totally accurate, neither the publisher nor the author can accept liability for any inaccuracies or changed circumstances of any information herein or for the consequences of any reliance placed upon it. This publication is distributed on the understanding that the publisher is not engaged in rendering legal, accounting, or other professional advice or services. Readers should always seek professional advice before entering into any commitments.}