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Samples in periodicals archive:
The Obama reforms of unlimited major medical coverage, increased prescription drug benefits and limitations on maximum out-of-pocket costs are to be added to Medicaid and Medicare, furthering fueling escalating costs of delivering medical care.
Under another option, employees willing to pay higher monthly premiums could have a deductible of $300 and a maximum out-of-pocket expense of $1,200.
These plans must meet minimum deductible amounts and maximum out-of-pocket limits.
The plans would still have to meet other requirements, including creating a maximum deductible of $2,000 for individuals and $4,000 for families, covering at least three doctor visits for individuals and six for families, and capping maximum out-of-pocket spending for in-network services at $5,000 for individuals and $10,000 for families.
For self-coverage, the minimum deductible is $1,000 with a maximum out-of-pocket of $5,000 (including the deductible); for family coverage, the minimum deductible is $2,000 with a maximum out-of-pocket of $10,000.
The $4,524 difference in the savings actually exceeds the maximum out-of-pocket expense the family would face if they reached the maximum deductible per family.
Maximum out-of-pocket expense for a family was boosted from $1,500 to $2,100 per year.
High-deductible family plans require an annual deductible of at least $3,000, not exceeding $4,500, with a maximum out-of-pocket cost of $5,500; for individual coverage, an annual deductible of at least $1,500, not exceeding $2,250, with a maximum annual out-of-pocket cost of Sec.