Affordable Care Act Out-of-Pocket Costs Will Decline in 2022

The maximum amount ACA consumers will have to pay out of pocket for their health care in 2022 will drop by $400, under new guidelines issued by the Centers for Medicare and Medicaid Services (CMS). In addition, the new rule will make it easier for people to sign up for insurance coverage in between open enrollment periods.

The maximum limits will be less for people with lower incomes. For ACA plan participants whose income is between 100 percent and 200 percent of the federal poverty level

  • Between $12,880 and $25,760 in 2021

The maximum they will have to pay out of pocket in 2022 will be $2,900 for individual coverage and $5,800 for coverage of more than one person. And for those whose incomes are between 200 percent and 250 percent of the poverty level

  • Between $25,760 and $32,200 in 2021

Their maximum out-of-pocket limits will be $6,950 for self-only coverage and $13,900 for coverage of more than one person.

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