The federal agencies that regulate the Act issued a set Frequently Asked Questions (FAQs) to clarify the limits on cost-sharing under the ACA.
For plan years beginning in 2016, the maximum annual limit on cost-sharing for all individuals is $6,850, regardless whether the is covered under a self-only plan or a plan that also covers others, such as a family plan or an -plus-one plan.
This also applies to self-funded , as clarified by the FAQs issued by the Departments Labor, and Human Services and Treasury.
The clarification applies to any plan or policy years that begin on or after January 1 2016, and to non-grandfathered -deductible .
The agencies advised to review their 2016 to ensure they comply with the rules maximum out--pocket costs.