With respect to provisions that do apply to the FEHBP, the notice proposes (p. 215)that the "2017 maximum annual limitation on cost sharing would be $7,150 for self-only coverage and $14,300 for other than self-only coverage." For 2016, "The maximum out-of-pocket limit for self-only coverage is $6,850 (up from $6,600 in 2015). For coverage other than self-only (such as family coverage), the maximum out-of-pocket limit is $13,700 (up from $13,200 in 2015)." The maximum applies to deductibles, copayments and coinsurance but not premiums or out of network provider charges.
The notice (p. 275-76) also proposes to end the transitional reinsurance program after 2016 as it must. The transitional reinsurance program requires most FEHB plans to contribute to a fund to help finance the QHPs in the exchanges.
The public comment deadline on this notice is December 21, 2015. HHS typically finalizes this rulemaking in the winter months.
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