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6/16/2016

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Important Coverage Updates for 2017
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 Important Coverage Updates
for 2017

Maximum Out-of-Pocket (OOP)

In accordance with the Affordable Care Act (ACA), below are the 2017 updates to the annual maximum out-of-pocket (OOP) amounts: 



2016
Maximum OOP
 
2017
Maximum OOP
Individual (self-only coverage)

$6,850


$7,150


Family (other than self-only coverage)

$13,700

$14,300



Qualified High-Deductible Health Plans (QHDHP)

The IRS has released updates to the definition of a qualified high-deductible health plan (QHDHP). The below table reflects the criteria for a QHDHP in 2017 as compared to 2016:



2016
2017
QHDHP minimum deductibles
Individual: $1,300

Family: $2,600
Individual: $1,300

Family: $2,600
HDHP OOP amounts
Individual: $6,550

Family: $13,100
Individual: $6,550

Family: $13,100
HSA contribution limits (employer + employee)
Individual: $3,350

Family: $6,750
Individual: $3,400

Family: $6,750
HSA catch-up contributions (age 55 or older)*
$1,000

$1,000
 
*Catch-up contributions can be made anytime during the year in which the HSA participant turns 55.

An individual's OOP maximum may not exceed the self-only OOP limit for individuals enrolled for family coverage.


If you have any questions, please contact Producer Relations at producerrelations@upmc.edu.



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among Commercial Health Plans 
in Pennsylvania"

                          - J.D. Power 

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