Regulatory Resources

2018 Cost-Sharing Limits

Cost-sharing limits for the 2018 plan year have been released by the U.S Department of Health and Human Services (HHS).

A group health plan’s annual in-network out-of-pocket maximum for Essential Health Benefits for the 2018 plan year cannot exceed $7,350 for a self-only plan and $14,700 for other than self-only coverage, according to HHS.

The in-network individual out-of-pocket maximum applies to all individuals, regardless of whether an individual has a self-only plan or other than self-only coverage (including a high-deductible health plan).

The 2018 cost-sharing limits represent a 2.8 percent increase from 2017 cost-sharing limits of $7,150 for a self-only health plan and $14,300 for other than self-only coverage, including family coverage.

For more on cost-sharing limits, follow this link.