Transparency in Coverage
Transparency in Coverage
Transparency in Coverage is a federal rule by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department created on 11/12/2020 and further supported and clarified by Colorado Senate Bill 24-080, Transparency in Health-Care Coverage. The act requires health insurance carriers (carriers) to comply with federal price transparency laws and to make available an internet-based self-service tool that provides real-time responses to a covered person's questions concerning carrier prices that are based on cost-sharing information. The act also requires carriers to submit information required by federal pharmacy benefit and drug cost reporting laws to the commissioner of insurance and to make certain information regarding price transparency publicly available.
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News and Updates
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Carrier Guidance
Please find carrier guidance in the CMS GitHub, linked below
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