What is a health insurance annual maximum? | Patriot Plans
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Health Insurance Basics

What is a health insurance annual maximum?

The ACA eliminated annual maximums on essential health benefits. Before the ACA, plans could impose an annual maximum on benefits. The ACA prohibits annual maximums on essential health benefits for all ACA-compliant plans. The out-of-pocket maximum is now the primary limit on your annual health care costs.

Key Points

  • ACA eliminated annual maximums on essential health benefits
  • Before ACA: plans could impose annual maximums
  • ACA-compliant plans: cannot impose annual maximums on essential health benefits
  • Out-of-pocket maximum: primary limit on annual health care costs
  • An independent agent can help you find ACA-compliant plans