The Department of Health and Human Services (HHS) provided a final Notice of Benefit and Payment Parameters Fact Sheet for 2016. The fact sheet established standards for issuers and Marketplaces for 2016. The notice includes payment parameters for the 2016 benefit year, and proposes new standards.
The Fact Sheet notes in the Payment Parameters section, that HHS has finalized the maximum out-of-pocket cost sharing limitation for 2016 at $6,850 for individuals and $13,700 for family coverage.
In addition, HHS finalized a policy adopting a uniform definition for Habilitative services:
Habilitative services – HHS defines Habilitative Services and devices using the same definition of Habilitative Services from the Uniform Glossary of Health Coverage and Medical Terms, beginning with the 2016 plan year.