Filed Under:Markets, Employee Benefits

Feds weigh in on PPACA cost-sharing limits

The feds also talk about the PPACA preventive services rules. (Graphic by Anna Langova.)
The feds also talk about the PPACA preventive services rules. (Graphic by Anna Langova.)

Federal regulators believe that new Patient Protection and Affordable Care Act (PPACA)  deductible limits apply only to insured small group plans, not to large insured plans or self-insured plans.

The regulators do believe that all group plans, including large insured plans and self-insured plans, must comply with PPACA limits on enrollees' out-of-pocket spending.

For 2013, the out-of-pocket spending limits are $6,250 for a single enrollee and $12,500 for a family.

The Labor Department, the Treasury Department and HHS said they will develop a rule that will state that "only plans and issuers in the small group market will be subject to the deductible limit."

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Nichole Morford

Nichole Morford
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