**Please note the non-HDHP maximum OOP amounts for non-grandfathered plans are set at $8,700/$17,4. *Eligible individuals age 55 and over may increase their maximum contribution by $1,000 at the end of the tax year. The below amounts apply to plan years beginning on or after January 1, 2022: The OOP limit applies to non-grandfathered QHDHPs. These amounts will apply to all group health plans and insurers offering a QHDHP and to any participants who elect to participate in an HSA in 2022. The IRS has also released the maximum out-of-pocket (OOP) amounts for those QHDHPs that are non-grandfathered. As a reminder, in order for an individual to participate in an HSA, they must be enrolled in a QHDHP plan. This article is for informational purposes only, and is not meant as medical advice.The IRS has announced the 2022 Health Savings Account (HSA) contribution limits and the minimum deductible required for a plan to be considered a Qualified High-Deductible Health Plan (QHDHP). *Depends on the contractual terms of the network To learn more about Meritain Health, our claims processing procedures and more, contact us today! In all these ways mentioned, we’re able to generate savings during the life cycle of a claim other third party administrators (TPAs) cannot. For claims over $15,000, our high-cost claim protection program delivers an average savings of 67 percent.Meritain Health clients saved nearly $605 million on out-of-network claims in 2021-a 25 percent increase from 2020.Savings are captured on approximately 91 percent of out-of-network claims, with an average savings of 61 percent. An audit process on paid claims is also used to catch errors and maximize savings. MeridianHealth shall not use funds paid by Healthcare and Family Services, administrative costs or populations not covered under MeridianHealth contract with Healthcare and Family Services related to non-Title XIX or non-Title XXI Members. For instance, in-network claims over $15,000 *, as well as out-of-network claims over $15,000 are subject to a line-by-line review to capture additional edits, or savings recommendations. However, we have processes tailored to high-dollar claims, plus in-network versus out-of-network. What strategies do we employ? This may depend on the amount of the claim and network terms. In addition, proactive review helps our clients address claims issues and take control of their benefits spending. To obtain the most cost-effective pricing on behalf of our clients, we utilize specific cost management strategies in the claims process. Our rule sets are designed to stay current with the market and provide deeper support for the changing complexity of self-funded plans. Additionally, strategic in-house claims editing processes are applied using proprietary claims editing software. Then, claims are evaluated, adjudicated or repriced, if necessary, and savings are applied.
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