Jump to content

High Deductible Out of Pocket Maximum

Recommended Posts

Is the maximum limit for high deductible plans a combo of in and out of network or can the limit be for each type of structure? We have a shared family deductible and then individual out of pocket limits. This year we are thinking about adding an out of network structure and the costs in the network would not be credited towards the out of network limit.

Link to comment
Share on other sites

  • 1 month later...

I am not exactly sure what you are asking but the ACA does not contain any out-of-pocket maximum limits for out-of-network providers.  If you wanted to take them into account, I believe off the top of my head that HHS permits you to do it as long as you do so in a reasonable manner.

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
  • Create New...