Annual Limits on Cost-Sharing Requirements (§156.130(a))
The ACA limits annual cost-sharing to levels required under health savings account (HSA) compatible high-deductible health plans (HSA/HDHPs)-estimated at $6,400 for individuals and $12,800 for families in 2014. The proposed rule provides that-in the case of a plan using a network of providers-cost sharing "paid by an enrollee for benefits provided outside of such network shall not count toward the annual limitation on cost-sharing or the annual limitation on deductibles."
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