Transparency in Coverage

Transparency in Coverage Rule Requires Rate Information to Post Starting July 2022

Insurers and group health plans are required under the Transparency in Coverage Rule to make rate information available for both members and non-members.  Medical Mutual will post this information starting July 2022:

Per the mandate, the information must be:

How We’ll Execute This Requirement

The Transparency in Coverage Rules under the No Surprises Act requires health plans to disclose on their public website information regarding in-network medical provider rates, out-of-network allowed amounts, and in network negotiated drug files.  The link below leads to the machine readable files in response to this Act.

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