>Insurance companies can’t set a dollar limit on what they spend on essential health benefits for your care during the entire time you’re enrolled in that plan.
Yearly limits
>Insurance companies can’t set a yearly dollar limit on what they spend for your coverage.
Here is a famous example of a single healthcare recipient causing an insurer to stop selling insurance in a state:
Legally, an ACA compliant plan has to cover healthcare expenses more than the out of pocket maximum. “Benefit maximums” are not allowed under the ACA.
https://www.healthcare.gov/health-care-law-protections/lifet...
> Lifetime limits
>Insurance companies can’t set a dollar limit on what they spend on essential health benefits for your care during the entire time you’re enrolled in that plan. Yearly limits
>Insurance companies can’t set a yearly dollar limit on what they spend for your coverage.
Here is a famous example of a single healthcare recipient causing an insurer to stop selling insurance in a state:
https://www.desmoinesregister.com/story/news/health/2017/05/...