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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] 
[Official Guidance] June 24, 2025 23 pages; rev. Jun. 23, 2025. "[CMS is] revising the Final 2026 AV Calculator ... to accommodate potential new de minimis ranges and a potentially updated MOOP limit. The only changes ... are the following: [1] The de minimis range for bronze, silver, gold and platinum plans was expanded ... [2] The MOOP limit was updated to $10,600 ... These changes do not affect the AV calculation methodology.... the Revised Final 2026 AV Calculator does not affect any 2025 plans, and will only be applicable for 2026 plans." [Also available: Revised Final 2026 Actuarial Value Calculator (XLSM)] MORE >> |
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