---
title: UHC Out-of-pocket Maximum (OOPM) Requirement Announced for 2026
description: The Annual OOPM Requirement Applies to Most Non-grandfathered Group Plans.
---

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# [UHC Out-of-pocket Maximum (OOPM) Requirement Announced for 2026](https://www.warnerpacific.com/news/uhc-out-of-pocket-maximum-oopm-requirement-announced-for-2026)

 Written by [Admin](https://www.warnerpacific.com/news/author/admin) | Mar 13, 2025 7:00:00 AM

**UHC Out-of-pocket Maximum (OOPM) Requirement Announced for 2026**  
**The annual OOPM requirement applies to most non-grandfathered group health plans**

The 2025 out-of-pocket maximum (OOPM) for group health plans is outlined below:

| **OOPM for 2026 plan year** | **OOPM for 2025 plan year** |
| --- | --- |
| Self-only: $10,150 | Self-only: $9,200 |
| Family: $20,300 | Family: $18,400 |

The 2026 OOPM represents a 10.3% increase over the 2025 OOPM parameters.

 The annual OOPM requirement applies to most non-grandfathered group health plans, regardless of whether the plan is fully insured or self-funded (ASO). It does not apply to grandfathered, Transitional Relief or retiree-only plans. The OOPM includes copayments, deductibles, and coinsurance amounts associated with both medical and pharmacy covered benefits. High-deductible health plans with health savings accounts (HSAs) have limits that are different, including OOPM, deductible and contribution limits. These limits are historically released in May and the 2026 out-of-pocket, deductible and contribution limits will be communicated once available. 

[View full post](https://www.warnerpacific.com/news/uhc-out-of-pocket-maximum-oopm-requirement-announced-for-2026)

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