Horizon Brief Notes: 2026 Benefit Changes for Small Group Plans

Posted on October 31, 2025

Applies to: Small Group Market

2026 Benefit Changes for Small Group Plans

Beginning January 1, 2026, upon the group’s renewal, members within Small Groups will see changes to their coverage, including updated minimum deductibles, maximum out-of-pocket (MOOP) amounts, and benefit cost sharing. New groups enrolling on or after January 1, 2026, will also have the same updated deductibles, MOOPs, and cost sharing.

The updated 2026 deductibles, MOOPs, and cost sharing are in the attached PDFs.

Horizon Advantage EPO
Horizon Direct Access
OMNIA Health Plan
Horizon Point of Service (POS)