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.