2020 Cost-Sharing Limits

A non-grandfathered group health plan’s annual in-network out-of-pocket maximum for Essential Health Benefits for the 2020 plan year cannot exceed $8,150 for a self-only plan and $16,300 for other-than self-only coverage, an increase of slightly more than 3 percent from 2019.

The new cost-sharing amounts were released by the U.S. Department of Health and Human Services’ Notice of Benefit and Payment Parameters for 2020. The in-network individual out-of-pocket maximum applies to all individuals, regardless of whether an individual has a self-only plan or other than self-only coverage.

For more on cost-sharing limits, follow this link.