HHS finalizes remaining 2022 notice of benefit and payment parameters

The Department of Health and Human Services this month published its second Notice of Benefit and Payment Parameters (NBPP) for 2022 which finalizes remaining standards included in a proposed notice issued at the end of last year. The first final 2022 NBPP was published Jan. 19, 2021.

This second NBPP describes additional benefit and payment parameters under the Affordable Care Act that apply for the 2022 benefit year. The provisions include:

  • The annual out-of-pocket maximum limitation will increase to $8,700 (self-only coverage) and $17,400 (family coverage) for 2022. That’s $400 lower than was initially proposed.

  • The required contribution percentage for catastrophic coverage eligibility is decreasing from 8.27% for 2021 to 8.09% for 2022.

  • An additional special enrollment period (SEP) for exchange coverage to allow enrollees who lose premium tax credit eligibility to change to a new plan. The added enrollment period also allows individuals who were unaware that an SEP triggering event occurred to select a new qualified health plan within 60 days.

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