Recently, the Department of Health and Human Services (HHS) released its final Notice of Benefit and Payment Parameters for 2020. This proposed rule describes benefit and payment parameters under the Affordable Care Act (ACA) that would be applicable for the 2020 benefit year.
Standards included in the rule relate to:
Annual limitations on cost sharing
The individual mandate’s affordability exemption
Direct enrollment in the Exchanges
Special enrollment periods (SEP) in the Exchanges HHS also sought comments on issues to address in the future, such as the practice of “silver loading,” the automatic re-enrollment process through the Exchanges and any additional measures that would reduce eligibility errors and potential government misspending. HHS noted that it intends to take the comments received in response to the proposed rule into consideration in future rulemaking.
Notable Changes for 2020 The out-of-pocket maximum (OOPM) will increase, and the ACA’s affordability exemption threshold will decrease for 2020.
OOPM: $8,150 for self-only coverage and $16,300 for family coverage
Affordability threshold: 8.24% of household income The final rule also enhances direct enrollment through the Exchanges and establishes a new SEP for the Exchanges. For more information on other changes,