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: