View all text of Subpart C [§ 156.200 - § 156.295]
§ 156.202 - Non-standardized plan option limits.
A QHP issuer in a Federally-facilitated Exchange or a State-based Exchange on the Federal platform:
(a) For plan year 2024, is limited to offering four non-standardized plan options per product network type, as the term is described in the definition of “product” at § 144.103 of this subchapter, metal level (excluding catastrophic plans), and inclusion of dental and/or vision benefit coverage (as defined in paragraph (c) of this section), in any service area.
(b) For plan year 2025 and subsequent plan years, is limited to offering two non-standardized plan options per product network type, as the term is described in the definition of “product” at § 144.103 of this subchapter, metal level (excluding catastrophic plans), and inclusion of dental and/or vision benefit coverage (as defined in paragraph (c) of this section), in any service area.
(c) For purposes of paragraphs (a) and (b) of this section, the inclusion of dental and/or vision benefit coverage is defined as coverage of any or all of the following:
(1) Adult dental benefit coverage as defined by the following in the “Benefits” column in the Plans and Benefits Template:
(i) Routine Dental Services (Adult);
(ii) Basic Dental Care—Adult; or
(iii) Major Dental Care—Adult.
(2) Pediatric dental benefit coverage as defined by the following in the “Benefits” column in the Plans and Benefits Template:
(i) Dental Check-Up for Children;
(ii) Basic Dental Care—Child; or
(iii) Major Dental Care—Child.
(3) Adult vision benefit coverage as defined by the following in the “Benefits” column in the Plans and Benefits Template: Routine Eye Exam (Adult).