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Text of CMS Revised Final 2026 Actuarial Value (AV) Calculator Methodology (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS] Link to more items from this source
[Official Guidance]
Mar. 26, 2025

23 pages. "[CMS is] revising the Final 2026 AV Calculator ... to accommodate potential new de minimis ranges and a potentially updated MOOP limit. The only changes that are being made to the Final 2026 AV Calculator ... [are] [1] The de minimis range for bronze, silver, gold and platinum plans was expanded to +2 percentage points to -4 percentage points; [2] The de minimis range for expanded bronze plans was expanded to +5 percentage points to -4 percentage points; [3] The de minimis range for income-based silver CSR plans was expanded to +1 percentage points to -1 percentage points; [4] The MOOP limit was updated to $10,600; and [5] The AV Calculator version number was updated, and the AV Calculator label was updated to 'Revised Final 2026 AV Calculator'. These changes do not affect the AV calculation methodology." [Also available: Revised Final 2026 Actuarial Value Calculator (XLSM)]  MORE >>

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