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Transparency in Coverage (TiC)
Transparency in Coverage (TiC), a provision of the Affordable Care Act (ACA), has finally been enacted.
Beginning July 1, 2022, Non-Grandfathered health plans must publicly disclose in-network, out-of-network, and pharmacy costs.
Beginning January 1, 2023, health plans must also have an online self-service tool for participants to view personalized out-of-pocket costs and other cost information for services rendered by their health plans.
For fully-insured health plans, generally speaking, the insurance carrier is fulfilling this requirement for plan sponsors (Employers).
Click the appropriate carrier logo below to navigate to your health plan’s public website where you will find machine-readable files (MRFs) for the in-network, out-of-network, and pharmacy costs. The carriers will update these sites by January 1, 2023 to comply with the additional requirement to provide a self-service tool to members for viewing out-of-pocket costs and other cost information for services.
PLEASE NOTE:
The TiC files are in a JSON format and are exceptionally large, up to a terabyte in size. Check your computer’s capacity and memory before downloading these files.
*BeaconPath is not responsible for the accuracy of the information provided on the links below, this is a courtesy resource only.
Click on the Carrier Logo to be redirected to their site:
