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CMS moves forward with rule on out-of-pocket limits
Modern Healthcare

The CMS is sticking to its guns on the maximum out-of-pocket limits for medical care, stating Tuesday that members within families shouldn’t have to pay more than individual consumers.

The Affordable Care Act limits how much people have to pay out of pocket for deductibles, coinsurance and copayments. The maximum yearly amount is $6,850 for individuals, and $13,700 for families. Those costs apply to the mandated essential health benefits within every health plan’s network, which includes most major treatments and procedures such as hospitalizations and maternity care.