Transparency In Coverage
Transparency in Coverage
As part of the Consolidated Appropriations Act (CAA), new Transparency in Coverage rules have been established by the Centers for Medicare & Medicaid Services (CMS), our organization is required to share
- In-network provider contracted rates for items and services
- Out-of-network allowed amounts and billed charges for items and services
At this time, rates are for medical items and services only and will not include pharmacy costs.
Machine-readable files are designed for a machine (i.e., computer) to read and will not be user-friendly for members. The best user experience for members will be to login to their online account and access our cost estimation tool.
Below is the link for the website: