{"id":2121,"date":"2023-11-16T21:51:13","date_gmt":"2023-11-16T21:51:13","guid":{"rendered":"https:\/\/alliantplans.com\/?page_id=2121"},"modified":"2024-06-27T20:53:37","modified_gmt":"2024-06-27T20:53:37","slug":"transparency-in-coverage-rule","status":"publish","type":"page","link":"https:\/\/alliantplans.com\/transparency-in-coverage-rule\/","title":{"rendered":"Transparency in Coverage Rule"},"content":{"rendered":"<style>.kadence-column2121_95a52a-b1 > .kt-inside-inner-col,.kadence-column2121_95a52a-b1 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column2121_95a52a-b1 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column2121_95a52a-b1 > .kt-inside-inner-col{flex-direction:column;}.kadence-column2121_95a52a-b1 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column2121_95a52a-b1 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column2121_95a52a-b1{position:relative;}@media all and (max-width: 1024px){.kadence-column2121_95a52a-b1 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column2121_95a52a-b1 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column2121_95a52a-b1\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedheading.kt-adv-heading2121_0bea14-4c, .wp-block-kadence-advancedheading.kt-adv-heading2121_0bea14-4c[data-kb-block=\"kb-adv-heading2121_0bea14-4c\"]{padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);text-align:center;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading2121_0bea14-4c mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading2121_0bea14-4c[data-kb-block=\"kb-adv-heading2121_0bea14-4c\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<h1 class=\"kt-adv-heading2121_0bea14-4c wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading2121_0bea14-4c\">Transparency in Coverage Rule (TiC)<\/h1>\n<\/div><\/div>\n\n\n<style>.kb-row-layout-id2121_33bb06-64 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id2121_33bb06-64 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id2121_33bb06-64 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1440px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id2121_33bb06-64 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id2121_33bb06-64 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id2121_33bb06-64 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id2121_33bb06-64 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n<style>.kadence-column2121_09ca43-4b > .kt-inside-inner-col,.kadence-column2121_09ca43-4b > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column2121_09ca43-4b > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column2121_09ca43-4b > .kt-inside-inner-col{flex-direction:column;}.kadence-column2121_09ca43-4b > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column2121_09ca43-4b > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column2121_09ca43-4b{position:relative;}.kadence-column2121_09ca43-4b, .kt-inside-inner-col > .kadence-column2121_09ca43-4b:not(.specificity){margin-right:var(--global-kb-spacing-xl, 4rem);margin-left:var(--global-kb-spacing-xl, 4rem);}@media all and (max-width: 1024px){.kadence-column2121_09ca43-4b > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 1024px){.kadence-column2121_09ca43-4b, .kt-inside-inner-col > .kadence-column2121_09ca43-4b:not(.specificity){margin-right:var(--global-kb-spacing-xxs, 0.5rem);margin-left:var(--global-kb-spacing-xxs, 0.5rem);}}@media all and (max-width: 767px){.kadence-column2121_09ca43-4b > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column2121_09ca43-4b\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedheading.kt-adv-heading2121_51f19c-14, .wp-block-kadence-advancedheading.kt-adv-heading2121_51f19c-14[data-kb-block=\"kb-adv-heading2121_51f19c-14\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading2121_51f19c-14 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading2121_51f19c-14[data-kb-block=\"kb-adv-heading2121_51f19c-14\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<p class=\"kt-adv-heading2121_51f19c-14 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading2121_51f19c-14\">In October 2020, the Federal Government finalized the Transparency in Coverage rules intending to make healthcare pricing more accessible and understandable for consumers. The rule requires health insurers and group health plans to publicly disclose pricing information for in-network rates and out-of-network allowed amounts via a Machine-Readable File (MRFs) by July 1, 2022.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading2121_295c9d-9f, .wp-block-kadence-advancedheading.kt-adv-heading2121_295c9d-9f[data-kb-block=\"kb-adv-heading2121_295c9d-9f\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading2121_295c9d-9f mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading2121_295c9d-9f[data-kb-block=\"kb-adv-heading2121_295c9d-9f\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<p class=\"kt-adv-heading2121_295c9d-9f wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading2121_295c9d-9f\">Alliant Health Plans has created the MRFs on your behalf and they are located on the Alliant website:<br><a href=\"https:\/\/alliantplans.com\/machine-readable-data\/\">https:\/\/alliantplans.com\/machine-readable-data\/<\/a><\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-wrap.wp-block-kadence-rowlayout.kb-row-layout-id2121_0cc45d-96{margin-top:var(--global-kb-spacing-xl, 4rem);margin-bottom:var(--global-kb-spacing-xl, 4rem);}.kb-row-layout-id2121_0cc45d-96 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id2121_0cc45d-96 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id2121_0cc45d-96 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1440px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id2121_0cc45d-96 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id2121_0cc45d-96 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id2121_0cc45d-96 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id2121_0cc45d-96 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n<style>.kadence-column2121_cd1113-16 > .kt-inside-inner-col,.kadence-column2121_cd1113-16 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column2121_cd1113-16 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column2121_cd1113-16 > .kt-inside-inner-col{flex-direction:column;}.kadence-column2121_cd1113-16 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column2121_cd1113-16 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column2121_cd1113-16{position:relative;}.kadence-column2121_cd1113-16, .kt-inside-inner-col > .kadence-column2121_cd1113-16:not(.specificity){margin-right:var(--global-kb-spacing-xl, 4rem);margin-left:var(--global-kb-spacing-xl, 4rem);}@media all and (max-width: 1024px){.kadence-column2121_cd1113-16 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 1024px){.kadence-column2121_cd1113-16, .kt-inside-inner-col > .kadence-column2121_cd1113-16:not(.specificity){margin-right:0px;margin-left:0px;}}@media all and (max-width: 767px){.kadence-column2121_cd1113-16 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column2121_cd1113-16\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedheading.kt-adv-heading2121_d70d36-d6, .wp-block-kadence-advancedheading.kt-adv-heading2121_d70d36-d6[data-kb-block=\"kb-adv-heading2121_d70d36-d6\"]{text-align:center;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading2121_d70d36-d6 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading2121_d70d36-d6[data-kb-block=\"kb-adv-heading2121_d70d36-d6\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<h2 class=\"kt-adv-heading2121_d70d36-d6 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading2121_d70d36-d6\">Frequently Asked Questions<\/h2>\n\n\n<style>.kt-accordion-id2121_31d869-82 .kt-accordion-inner-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:11px;}.kt-accordion-id2121_31d869-82 .kt-accordion-panel-inner{border-top:0px solid transparent;border-right:0px solid transparent;border-bottom:0px solid var(--global-palette5, #4A5568);border-left:2px solid var(--global-palette1, #3182CE);background:var(--global-palette8, #F7FAFC);padding-top:0px;padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-md, 2rem);padding-left:var(--global-kb-spacing-xl, 4rem);}.kt-accordion-id2121_31d869-82 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header{border-top:0px solid var(--global-palette3, #1A202C);border-right-color:#eeeeee;border-right-style:solid;border-bottom:0px solid var(--global-palette3, #1A202C);border-left:2px solid var(--global-palette1, #3182CE);border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;background:var(--global-palette8, #F7FAFC);color:var(--global-palette3, #1A202C);padding-top:var(--global-kb-spacing-xs, 1rem);padding-right:0px;padding-bottom:var(--global-kb-spacing-xs, 1rem);padding-left:var(--global-kb-spacing-md, 2rem);}.kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle )  > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle )  > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette3, #1A202C);}.kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-icon-trigger{background:var(--global-palette3, #1A202C);}.kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette8, #F7FAFC);}.kt-accordion-id2121_31d869-82 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header:hover, \n\t\t\t\tbody:not(.hide-focus-outline) .kt-accordion-id2121_31d869-82 .kt-blocks-accordion-header:focus-visible{color:var(--global-palette3, #1A202C);background:var(--global-palette8, #F7FAFC);border-top-color:var(--global-palette1, #3182CE);border-top-style:solid;border-right-color:var(--global-palette1, #3182CE);border-right-style:solid;border-bottom-color:var(--global-palette1, #3182CE);border-bottom-style:solid;border-left-color:var(--global-palette1, #3182CE);border-left-style:solid;}.kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle ) .kt-accordion-header-wrap .kt-blocks-accordion-header:hover .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle ) .kt-accordion-header-wrap .kt-blocks-accordion-header:hover .kt-blocks-accordion-icon-trigger:before, body:not(.hide-focus-outline) .kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle ) .kt-blocks-accordion--visible .kt-blocks-accordion-icon-trigger:after, body:not(.hide-focus-outline) .kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle ) .kt-blocks-accordion-header:focus-visible .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette3, #1A202C);}.kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-accordion-header-wrap .kt-blocks-accordion-header:hover .kt-blocks-accordion-icon-trigger, body:not(.hide-focus-outline) .kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible .kt-blocks-accordion-icon-trigger{background:var(--global-palette3, #1A202C);}.kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-accordion-header-wrap .kt-blocks-accordion-header:hover .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-accordion-header-wrap .kt-blocks-accordion-header:hover .kt-blocks-accordion-icon-trigger:before, body:not(.hide-focus-outline) .kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible .kt-blocks-accordion-icon-trigger:after, body:not(.hide-focus-outline) .kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette8, #F7FAFC);}.kt-accordion-id2121_31d869-82 .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible,\n\t\t\t\t.kt-accordion-id2121_31d869-82 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header.kt-accordion-panel-active{color:var(--global-palette3, #1A202C);background:var(--global-palette8, #F7FAFC);border-top-color:var(--global-palette3, #1A202C);border-top-style:solid;border-right-color:#eeeeee;border-right-style:solid;border-bottom-color:#eeeeee;border-bottom-style:solid;border-left-color:var(--global-palette1, #3182CE);border-left-style:solid;}.kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle )  > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle )  > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette3, #1A202C);}.kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger{background:var(--global-palette3, #1A202C);}.kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id2121_31d869-82:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette8, #F7FAFC);}@media all and (max-width: 1024px){.kt-accordion-id2121_31d869-82 .kt-accordion-panel-inner{border-top:0px solid transparent;border-right:0px solid transparent;border-bottom:0px solid var(--global-palette5, #4A5568);border-left:2px solid var(--global-palette1, #3182CE);}}@media all and (max-width: 1024px){.kt-accordion-id2121_31d869-82 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header{border-top:0px solid var(--global-palette3, #1A202C);border-right-color:#eeeeee;border-right-style:solid;border-bottom:0px solid var(--global-palette3, #1A202C);border-left:2px solid var(--global-palette1, #3182CE);}}@media all and (max-width: 1024px){.kt-accordion-id2121_31d869-82 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header:hover, \n\t\t\t\tbody:not(.hide-focus-outline) .kt-accordion-id2121_31d869-82 .kt-blocks-accordion-header:focus-visible{border-top-color:var(--global-palette1, #3182CE);border-top-style:solid;border-right-color:var(--global-palette1, #3182CE);border-right-style:solid;border-bottom-color:var(--global-palette1, #3182CE);border-bottom-style:solid;border-left-color:var(--global-palette1, #3182CE);border-left-style:solid;}}@media all and (max-width: 1024px){.kt-accordion-id2121_31d869-82 .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible,\n\t\t\t\t.kt-accordion-id2121_31d869-82 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header.kt-accordion-panel-active{border-top-color:var(--global-palette3, #1A202C);border-top-style:solid;border-right-color:#eeeeee;border-right-style:solid;border-bottom-color:#eeeeee;border-bottom-style:solid;border-left-color:var(--global-palette1, #3182CE);border-left-style:solid;}}@media all and (max-width: 767px){.kt-accordion-id2121_31d869-82 .kt-accordion-inner-wrap{display:block;}.kt-accordion-id2121_31d869-82 .kt-accordion-inner-wrap .kt-accordion-pane:not(:first-child){margin-top:11px;}.kt-accordion-id2121_31d869-82 .kt-accordion-panel-inner{border-top:0px solid transparent;border-right:0px solid transparent;border-bottom:0px solid var(--global-palette5, #4A5568);border-left:2px solid var(--global-palette1, #3182CE);padding-top:0px;padding-right:var(--global-kb-spacing-md, 2rem);padding-bottom:var(--global-kb-spacing-md, 2rem);padding-left:var(--global-kb-spacing-md, 2rem);}.kt-accordion-id2121_31d869-82 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header{border-top:0px solid var(--global-palette3, #1A202C);border-right-color:#eeeeee;border-right-style:solid;border-bottom:0px solid var(--global-palette3, #1A202C);border-left:2px solid var(--global-palette1, #3182CE);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kt-accordion-id2121_31d869-82 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header:hover, \n\t\t\t\tbody:not(.hide-focus-outline) .kt-accordion-id2121_31d869-82 .kt-blocks-accordion-header:focus-visible{border-top-color:var(--global-palette1, #3182CE);border-top-style:solid;border-right-color:var(--global-palette1, #3182CE);border-right-style:solid;border-bottom-color:var(--global-palette1, #3182CE);border-bottom-style:solid;border-left-color:var(--global-palette1, #3182CE);border-left-style:solid;}.kt-accordion-id2121_31d869-82 .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible,\n\t\t\t\t.kt-accordion-id2121_31d869-82 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header.kt-accordion-panel-active{border-top-color:var(--global-palette3, #1A202C);border-top-style:solid;border-right-color:#eeeeee;border-right-style:solid;border-bottom-color:#eeeeee;border-bottom-style:solid;border-left-color:var(--global-palette1, #3182CE);border-left-style:solid;}}<\/style>\n<div class=\"wp-block-kadence-accordion alignnone\"><div class=\"kt-accordion-wrap kt-accordion-id2121_31d869-82 kt-accordion-has-7-panes kt-active-pane-0 kt-accordion-block kt-pane-header-alignment-left kt-accodion-icon-style-arrow kt-accodion-icon-side-left\" style=\"max-width:none\"><div class=\"kt-accordion-inner-wrap\" data-allow-multiple-open=\"false\" data-start-open=\"none\">\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-1 kt-pane2121_525912-72\"><div class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">What is the Transparency in Coverage Rule?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/div><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>In October 2020, the Federal Government finalized the Transparency in Coverage rule intending to make healthcare pricing more accessible and understandable for consumers. The rule requires health insurers and group health plans to publicly disclose pricing information for in-network rates and out-of-network allowed amounts via a Machine-Readable File (MRFs). These files must be updated monthly. The rule also requires health insurers and plans to make available a price comparison tool.<\/p>\n\n\n\n<p><strong>Publicly Available Machine-Readable Files (MRFs):&nbsp;<\/strong>Insurers and plans will be required to make available to the public (consumers, researchers, employers, and third party developers) MRFs with detailed information on the pricing of covered items and services as follows:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Negotiated rates for in-network providers.<\/li>\n\n\n\n<li>Historical allowed amounts and billed charges for out-of-network<\/li>\n\n\n\n<li>Negotiated rates and historic net prices for prescription drugs (this part of the rule has been delayed pending further rulemaking by the Federal Government)<\/li>\n<\/ol>\n\n\n\n<p><strong>Consumer Price Transparency Tool:<\/strong>&nbsp;The Transparency in Coverage rule requires insurers and group health plans to make available online consumer tools that allow a member to get personalized information regarding cost-sharing responsibilities for covered items and services, including prescription drugs. The tool must be an internet-based cost estimator tool. The functions of the tool need to include:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Permit members to search based on billing code or description<\/li>\n\n\n\n<li>Allow members to compare costs across both in-network and out-of-network providers<\/li>\n\n\n\n<li>Inform members of any accumulated deductible or other out-of-pocket expenditures to date<\/li>\n\n\n\n<li>List any factors that impact the cost such as service location or drug dosage<\/li>\n\n\n\n<li>Provide cost estimates in paper format at the member\u2019s request<\/li>\n<\/ol>\n\n\n\n<p>Beginning with plan years on or after January 1, 2023, the cost estimator tool must disclose information on 500 items, services and prescription drugs identified in the final rule. Starting with plan years on and after January 1, 2024, the tool must list all covered items and services including prescription drugs.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-2 kt-pane2121_088727-30\"><div class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">What is the effective date for compliance with the Rule?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/div><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p><strong>Publicly Available Machine-Readable Files (MRFs):<\/strong>&nbsp;Effective for plan years on and after January 1, 2022, insurers and plans must disclose to the public their negotiated prices and historical net plan allowable amount for all covered items and services including prescription drugs. However,&nbsp;<strong>enforcement of the rule is delayed until July 1, 2022,<\/strong>&nbsp;for in and out-of-network pricing, and for prescription drugs until further rulemaking by the Federal Government.<\/p>\n\n\n\n<p><strong>Member Price Comparison Tool:<\/strong><\/p>\n\n\n\n<p>Effective for&nbsp;<strong>plan years beginning on and after January 1, 2023,<\/strong>&nbsp;insurers and plans must provide members with real-time benefit cost estimator tools that allow members and consumers to understand and compare their personalized out-of-pocket costs for covered in-network and out-of-network services. The price comparison tool must list 500 items, services, and prescriptions drugs identified in the final rule. The list is primarily for medical items and services for January 1, 2023.<\/p>\n\n\n\n<p>Effective for&nbsp;<strong>plan years beginning on and after January 1, 2024,<\/strong>&nbsp;insurers and plans must provide members with real-time benefit cost estimator tools that provide costs for all covered medical items, services and drugs that allow members and consumers to understand and compare their personalized out-of-pocket costs for in-network and out-of-network services.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-3 kt-pane2121_dfb8be-33\"><div class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">Can insurers support the requirements for a group health plan?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/div><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\"><style>.wp-block-kadence-advancedheading.kt-adv-heading2121_5fe4d3-86, .wp-block-kadence-advancedheading.kt-adv-heading2121_5fe4d3-86[data-kb-block=\"kb-adv-heading2121_5fe4d3-86\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading2121_5fe4d3-86 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading2121_5fe4d3-86[data-kb-block=\"kb-adv-heading2121_5fe4d3-86\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<p class=\"kt-adv-heading2121_5fe4d3-86 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading2121_5fe4d3-86\">Yes. While the Transparency in Coverage Rule applies directly to group health plans and administrators, an issuer or third-party administrator (TPA) may choose to provide the MRFs and price comparison tool for the group health plan. This can be through providing the files directly to the plan to post on their own public website or via a link on the insurer\u2019s website.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-4 kt-pane2121_20b1b4-09\"><div class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">Who does the Transparency in Coverage Rule apply to?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/div><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\"><style>.wp-block-kadence-advancedheading.kt-adv-heading2121_c1ace6-83, .wp-block-kadence-advancedheading.kt-adv-heading2121_c1ace6-83[data-kb-block=\"kb-adv-heading2121_c1ace6-83\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading2121_c1ace6-83 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading2121_c1ace6-83[data-kb-block=\"kb-adv-heading2121_c1ace6-83\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<p class=\"kt-adv-heading2121_c1ace6-83 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading2121_c1ace6-83\">The Transparency in Coverage Rule applies to health insurers in the individual and group markets and to group health plans. Marketplace or Exchange plans are also included. The rule does not apply to grandfathered plans, excepted benefit plans and short-term limited durations plans.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-5 kt-pane2121_4e7a26-44\"><div class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\">What health plans are not covered under the Transparency Rule?<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/div><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p>The following plans are not covered under the rule:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Grandfathered plans<\/li>\n\n\n\n<li>Excepted benefits (e.g., standalone vision, dental, and hearing plans)<\/li>\n\n\n\n<li>Retiree only plans<\/li>\n\n\n\n<li>Short term limited duration (STLD) plans<\/li>\n<\/ul>\n<\/div><\/div><\/div>\n<\/div><\/div><\/div>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-wrap.wp-block-kadence-rowlayout.kb-row-layout-id2121_25568e-48{margin-top:var(--global-kb-spacing-xl, 4rem);margin-bottom:var(--global-kb-spacing-xl, 4rem);}.kb-row-layout-id2121_25568e-48 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id2121_25568e-48 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id2121_25568e-48 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1440px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id2121_25568e-48 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id2121_25568e-48 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id2121_25568e-48 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id2121_25568e-48 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n<style>.kadence-column2121_cc3f25-b1 > .kt-inside-inner-col,.kadence-column2121_cc3f25-b1 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column2121_cc3f25-b1 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column2121_cc3f25-b1 > .kt-inside-inner-col{flex-direction:column;}.kadence-column2121_cc3f25-b1 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column2121_cc3f25-b1 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column2121_cc3f25-b1{text-align:center;}.kadence-column2121_cc3f25-b1{position:relative;}.kadence-column2121_cc3f25-b1, .kt-inside-inner-col > .kadence-column2121_cc3f25-b1:not(.specificity){margin-right:var(--global-kb-spacing-xl, 4rem);margin-left:var(--global-kb-spacing-xl, 4rem);}@media all and (max-width: 1024px){.kadence-column2121_cc3f25-b1 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column2121_cc3f25-b1 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column2121_cc3f25-b1\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedheading.kt-adv-heading2121_70873c-a2, .wp-block-kadence-advancedheading.kt-adv-heading2121_70873c-a2[data-kb-block=\"kb-adv-heading2121_70873c-a2\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading2121_70873c-a2 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading2121_70873c-a2[data-kb-block=\"kb-adv-heading2121_70873c-a2\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<h3 class=\"kt-adv-heading2121_70873c-a2 wp-block-kadence-advancedheading has-theme-palette-3-color has-text-color\" data-kb-block=\"kb-adv-heading2121_70873c-a2\">Publicly available links for more information:<\/h3>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading2121_7dcd38-01, .wp-block-kadence-advancedheading.kt-adv-heading2121_7dcd38-01[data-kb-block=\"kb-adv-heading2121_7dcd38-01\"]{padding-top:0px;padding-bottom:0px;margin-bottom:var(--global-kb-spacing-xxs, 0.5rem);text-align:center;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading2121_7dcd38-01[data-kb-block=\"kb-adv-heading2121_7dcd38-01\"]{display:flex;gap:0.25em;justify-content:center;align-items:center;}.wp-block-kadence-advancedheading.kt-adv-heading2121_7dcd38-01[data-kb-block=\"kb-adv-heading2121_7dcd38-01\"] .kb-adv-heading-icon svg{width:1em;height:1em;}.wp-block-kadence-advancedheading.kt-adv-heading2121_7dcd38-01[data-kb-block=\"kb-adv-heading2121_7dcd38-01\"] .kb-adv-heading-icon{font-size:12px;}.wp-block-kadence-advancedheading.kt-adv-heading2121_7dcd38-01 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading2121_7dcd38-01[data-kb-block=\"kb-adv-heading2121_7dcd38-01\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading2121_7dcd38-01[data-kb-block=\"kb-adv-heading2121_7dcd38-01\"] a, .kt-adv-heading-link2121_7dcd38-01, .kt-adv-heading-link2121_7dcd38-01 .kt-adv-heading2121_7dcd38-01[data-kb-block=\"kb-adv-heading2121_7dcd38-01\"]{color:var(--global-palette3, #1A202C);}.wp-block-kadence-advancedheading.kt-adv-heading2121_7dcd38-01[data-kb-block=\"kb-adv-heading2121_7dcd38-01\"] a:hover, .kt-adv-heading-link2121_7dcd38-01:hover, .kt-adv-heading-link2121_7dcd38-01:hover .kt-adv-heading2121_7dcd38-01[data-kb-block=\"kb-adv-heading2121_7dcd38-01\"]{color:var(--global-palette2, #2B6CB0);}.wp-block-kadence-advancedheading.kt-adv-heading2121_7dcd38-01[data-kb-block=\"kb-adv-heading2121_7dcd38-01\"] a, a.kb-advanced-heading-link.kt-adv-heading-link2121_7dcd38-01{text-decoration:none;}.wp-block-kadence-advancedheading.kt-adv-heading2121_7dcd38-01[data-kb-block=\"kb-adv-heading2121_7dcd38-01\"] a:hover, a.kb-advanced-heading-link.kt-adv-heading-link2121_7dcd38-01:hover{text-decoration:underline;}<\/style><p class=\"kt-adv-heading2121_7dcd38-01 wp-block-kadence-advancedheading kt-adv-heading-has-icon\" data-kb-block=\"kb-adv-heading2121_7dcd38-01\"><span class=\"kb-adv-text-inner\"><a href=\"https:\/\/www.cms.gov\/newsroom\/fact-sheets\/transparency-coverage-final-rule-fact-sheet-cms-9915-f\">CMS Fact Sheet<\/a><\/span><span class=\"kb-svg-icon-wrap kb-adv-heading-icon kb-svg-icon-icon-external-link kb-adv-heading-icon-side-right\"><svg viewBox=\"0 0 1024 1024\"  fill=\"currentColor\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"  aria-hidden=\"true\"><path d=\"M804.571 530.286v182.857c0 90.857-73.714 164.571-164.571 164.571h-475.429c-90.857 0-164.571-73.714-164.571-164.571v-475.429c0-90.857 73.714-164.571 164.571-164.571h402.286c10.286 0 18.286 8 18.286 18.286v36.571c0 10.286-8 18.286-18.286 18.286h-402.286c-50.286 0-91.429 41.143-91.429 91.429v475.429c0 50.286 41.143 91.429 91.429 91.429h475.429c50.286 0 91.429-41.143 91.429-91.429v-182.857c0-10.286 8-18.286 18.286-18.286h36.571c10.286 0 18.286 8 18.286 18.286zM1024 36.571v292.571c0 20-16.571 36.571-36.571 36.571-9.714 0-18.857-4-25.714-10.857l-100.571-100.571-372.571 372.571c-3.429 3.429-8.571 5.714-13.143 5.714s-9.714-2.286-13.143-5.714l-65.143-65.143c-3.429-3.429-5.714-8.571-5.714-13.143s2.286-9.714 5.714-13.143l372.571-372.571-100.571-100.571c-6.857-6.857-10.857-16-10.857-25.714 0-20 16.571-36.571 36.571-36.571h292.571c20 0 36.571 16.571 36.571 36.571z\"\/><\/svg><\/span><\/p>\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading2121_986a51-41, 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a.kb-advanced-heading-link.kt-adv-heading-link2121_986a51-41{text-decoration:none;}.wp-block-kadence-advancedheading.kt-adv-heading2121_986a51-41[data-kb-block=\"kb-adv-heading2121_986a51-41\"] a:hover, a.kb-advanced-heading-link.kt-adv-heading-link2121_986a51-41:hover{text-decoration:underline;}<\/style><p class=\"kt-adv-heading2121_986a51-41 wp-block-kadence-advancedheading kt-adv-heading-has-icon\" data-kb-block=\"kb-adv-heading2121_986a51-41\"><span class=\"kb-adv-text-inner\"><a href=\"https:\/\/www.federalregister.gov\/documents\/2020\/11\/12\/2020-24591\/transparency-in-coverage#page-72182\">500 Items the rule applies to<\/a><\/span><span class=\"kb-svg-icon-wrap kb-adv-heading-icon kb-svg-icon-icon-external-link kb-adv-heading-icon-side-right\"><svg viewBox=\"0 0 1024 1024\"  fill=\"currentColor\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"  aria-hidden=\"true\"><path d=\"M804.571 530.286v182.857c0 90.857-73.714 164.571-164.571 164.571h-475.429c-90.857 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