Summary
The provision restricts annual limits on the dollar value of Essential Health Benefits. Annual limits may not be less than the following amounts.
For plan years beginning before Jan. 1, 2014:
- $750,000 on or after Sept. 23, 2010
- $1.25 million on or after Sept. 23, 2011
- $2 million on or after Sept. 23, 2012 to Jan. 1, 2014
These restricted annual limits apply on an individual-by-individual basis; however, they do not apply to individual health plans that are grandfathered.
For plan years beginning on or after Jan. 1, 2014, group health plans may not establish any annual dollar limits on essential health benefits.
Video: Lifetime and Annual Limits Under the Affordable Care Act
Under health reform, lifetime and annual dollar limits for all policies will be eliminated in 2014. There also are gradual changes taking place before then. View video
Credit: UHC.com