Payment parameters were published by The Department of Health Services (HHS) for the Annual Notice of Benefit and Payment Parameters for 2026. The guidelines specify the yearly out-of-pocket limits (deductibles, co-payments, and other amounts, but not premiums) for non-grandfathered group medical plans for plan years starting in 2026 for employer-sponsored health plans.
The Department also published the proposed Annual Notice of Benefit and Payment Parameters rule for 2026. HHS indicates, besides Departments of Labor and the Treasury, future rulemaking to address the applicability of drug manufacturer support to the annual limitation on cost-sharing is expected, something that will impact employer-sponsored coverage.
Group that are non-grandfathered medical plans, out-of-pocket limits should be updated by the employers for plan years beginning on or after January 1, 2026.
Have Questions? and want to read more about the changes? Annual Out-of-Pocket Maximum Adjustments Announced for 2026 for more details.
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