Transparency in Coverage
The Departments of Health and Human Services, Labor and the Treasury finalized the Transparency in Coverage Rule that requires health insurers and group health plans to provide a member-facing price comparison tool and post publicly available machine-readable files that include in-network negotiated payment rates and historical out-of-network charges for covered items and services, including prescriptions drugs.
Click on a link below to access the provider networks associated with your benefits.
Anthem
Federal Transparency in Coverage regulations require that as of July 1, 2022 group health plans must post machine readable files containing (1) negotiated in-network rates and (2) out-of-network billed charges and allowed amounts. To access this information, please click the link:
Important Transparency in Coverage Machine Readable File Information
Blue Cross / Blue Shield
Machine readable files will be available July 1, 2022.
TCR – Machine Readable Files – Blue Cross and Blue Shield’s Federal Employee Program (fepblue.org)
Kaiser Permanente
Machine readable files will be available July 1, 2022.
Kaiser Permanente is committed to providing price transparency in our interactions with customers and members. In accordance with the regulation, Kaiser Permanente is actively working to assemble and post the required machine-readable files on kp.org and expects to complete this effort by July 1, 2022. The files will be made public for plan years that begin on or after January 1, 2022 and will be refreshed monthly.
https://healthy.kaiserpermanente.org/front-door/machine-readable