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Important Limits Increase for 2018 Health Plans

For plans other than high deductible health plans (HDHPs) paired with HSAs, regulations issued by the Department of Health and Human Services in December 2016 set the following 2018 limits for the Maximum Out-of-Pocket (MOOP) for Essential Health Benefits (EHB) for non-grandfathered health plans:

MOOP (Maximum Out-of-Pocket) Limits

Limit

2018

2017

Maximums In-Network Out-Of-Pocket1 on EHBs for non-grandfathered  health plans

Self Only

$7,350

Self Only

$7,150

Family

$14,700

Family

$14,300

The following chart shows the 2018 limits set by the IRS in Rev. Proc. 2017-37 for health savings accounts (HSAs) and high-deductible health plans (HDHPs). As the chart reflects, all such limits increased from 2017.

HSA and HDHP Limits

Limit

2018

2017

Maximum HSA2 Contribution Limit

Self Only

$3,450

Self Only

$3,400

Family

$6,900

Family

$6,750

Minimum deductible that a HDHP3 can have

Self Only

$1,350

Self Only

$1,300

Family

$2,700

Family

$2,600

Maximum In-Network Out-Of-Pocket for a HDHP paired with an HSA

Self Only

$6,650

Self Only

$6,550

Family

$13,300

Family

$13,100

Note the age 55-catch-up contribution limit for HSAs, which is not adjusted annually for inflation, remains unchanged at $1,000.

If you have any questions about these or other limits or about the impact on your plan, contact your Cheiron consultant.

Cheiron is an actuarial consulting firm that provides actuarial and consulting advice. However, we are neither attorneys nor accountants. Accordingly, we do not provide legal services or tax advice.


1 Plans with family Out-Of-Pocket (OOP) limits must apply the self-only limit for each person enrolled in family coverage. This means that once a person covered under a family plan reaches the self-only OOP maximum, then all expenses above the self-only limit for covered essential health benefits (EHBs) for that person must be reimbursed at 100%, even if the family OOP maximum has not been met.

2 The Health Savings Account (HSA) plan limits in this chart apply for individuals who also have coverage under a High Deductible Health Plan (HDHP) for the plan year.

3 These HDHP limits apply for individuals who also have coverage under a HSA for the plan year.

 
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