The Department of Health and Human Services (HHS) released the final Notice of Benefit and Payment Parameters for 2015. This final rule included the finalized out-of-pocket maximum limits on cost sharing, maximum deductible limitations, and the national annual limit on cost sharing for stand-alone dental plans (SADPs) for the pediatric dental essential health benefit (EHB) for 2015.
For 2015, the out of pocket maximum on cost sharing is:
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$6,600 for self-only coverage (up from $6,350 in 2014)
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$13,200 for coverage other than self-only (up from $12,700 in 2014)
For 2015, the national annual limits on cost sharing for stand-alone dental plans covering pediatric dental (as an essential health benefit) offered through the Marketplace are:
- $350 for one covered child (reduced from $700 for 2014), and
- $700 for two or more covered children (reduced from $1,400 for 2014)
The final 2015 out-of-pocket maximum limits for health savings account (HSA) compatible high deductible health plans are expected to be released by the Internal Revenue Service in mid-2015.