Changes to Maximum Out-of-Pocket Limits

Under the Affordable Care Act (ACA), all non-grandfathered group health plans regardless of size or funding arrangement, must comply with annual limits on out-of-pocket maximums for in-network covered services that are Essential Health Benefits (EHB)1. These out-of-pocket maximums are also known as a plan’s maximum out-of-pocket (MOOP).

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Click the link to download the full notice: Changes_to_MOOP_Limits

Please contact your Total Benefit Solutions account manager at (215)355-2121 if you have any questions or concerns.